Individual provider · Type 1 NPI

Charla Marie Phoenix, PAC

Medical Physician Assistant · Newark, DE

NPI number 1942502992 Active

Practice location

200 Hygeia Dr Ste 1420
Newark, DE 19713-2049

Call (302) 623-3017 Map

Fax (302) 266-9962

Mailing address

620 Stanton Christiana Rd, Suite 302
Newark, DE 19713-2133

Other practice locations

  • 620 Stanton Christiana Rd, Suite 302, Newark, DE 19713-2133 · (302) 892-9400

Specialties and licenses

TaxonomyCodeLicense
Physician Assistant 363A00000XC0009749 (MD)
Medical Physician Assistant Primary 363AM0700XC5-0000735 (DE)

Medical Physician Assistant: Definition to come...

25 other providers at this address

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About NPI 1942502992

Charla Marie Phoenix, PAC's National Provider Identifier is 1942502992, issued on Nov 24, 2010. The primary taxonomy on file is Medical Physician Assistant (363AM0700X), and the practice location is in Newark, DE. The record was last updated on Jan 13, 2025.