Provider Demographics
NPI:1861591299
Name:COMPTON, DAVID W JR (MD)
Entity type:Individual
Prefix:
First Name:DAVID
Middle Name:W
Last Name:COMPTON
Suffix:JR
Gender:M
Credentials:MD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:335 INDIANTOWN RD
Mailing Address - Street 2:
Mailing Address - City:LANDENBERG
Mailing Address - State:PA
Mailing Address - Zip Code:19350-1009
Mailing Address - Country:US
Mailing Address - Phone:302-293-2822
Mailing Address - Fax:
Practice Address - Street 1:2710 CENTERVILLE RD STE 100
Practice Address - Street 2:
Practice Address - City:WILMINGTON
Practice Address - State:DE
Practice Address - Zip Code:19808-1652
Practice Address - Country:US
Practice Address - Phone:302-999-0200
Practice Address - Fax:302-999-0283
Is Sole Proprietor?:Yes
Enumeration Date:2006-09-22
Last Update Date:2022-06-03
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MDD0060224207L00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207L00000XAllopathic & Osteopathic PhysiciansAnesthesiology
Provider Identifiers
StateIdentifier IDID TypeIssuer
MD166554ZE2NMedicare PIN
MDK729O651Medicare PIN