Provider Demographics
| NPI: | 1053450916 |
|---|---|
| Name: | OCCUPATIONAL HEALTH CENTERS OF DELAWARE, P.A. |
| Entity type: | Organization |
| Organization Name: | OCCUPATIONAL HEALTH CENTERS OF DELAWARE, P.A. |
| Other - Org Name: | |
| Other - Org Type: | |
| Authorized Official - Title/Position: | SR VP, CMO |
| Authorized Official - Prefix: | DR |
| Authorized Official - First Name: | ROBERT |
| Authorized Official - Middle Name: | |
| Authorized Official - Last Name: | HASSETT |
| Authorized Official - Suffix: | |
| Authorized Official - Credentials: | DO |
| Authorized Official - Phone: | 972-364-8000 |
| Mailing Address - Street 1: | 5080 SPECTRUM DR |
| Mailing Address - Street 2: | SUITE 1200 WEST |
| Mailing Address - City: | ADDISON |
| Mailing Address - State: | TX |
| Mailing Address - Zip Code: | 75001-4648 |
| Mailing Address - Country: | US |
| Mailing Address - Phone: | 972-364-8000 |
| Mailing Address - Fax: | 214-775-4502 |
| Practice Address - Street 1: | 5080 SPECTRUM DR |
| Practice Address - Street 2: | SUITE 1200 WEST |
| Practice Address - City: | ADDISON |
| Practice Address - State: | TX |
| Practice Address - Zip Code: | 75001-4648 |
| Practice Address - Country: | US |
| Practice Address - Phone: | 972-364-8000 |
| Practice Address - Fax: | 214-775-4502 |
| EIN: | <UNAVAIL> |
| Is Organization Subpart?: | No |
| Parent Organization LBN: | |
| Parent Organization TIN: | |
| Enumeration Date: | 2007-02-06 |
| Last Update Date: | 2016-02-02 |
| Deactivation Date: | |
| Deactivation Code: | |
| Reactivation Date: |
Provider Taxonomies
| Primary? | Code | Type | Classification | Specialization |
|---|---|---|---|---|
| Yes | 261QX0100X | Ambulatory Health Care Facilities | Clinic/Center | Occupational Medicine |