OrganizationActive
First State Pharmacy
NPI 1770122764 · Pain Medicine Physician · Wilmington, DE
Provider details
- NPI number
- 1770122764
- Entity type
- Organization
- Primary specialty
- Pain Medicine PhysicianAllopathic & Osteopathic Physicians
- Organization subpart
- No
- Authorized official
- Stefanie Paulus, Practice Manager(302) 766-5368
Specialties & taxonomies
Allopathic & Osteopathic Physicians
- Interventional Pain Medicine Physician208VP0014X
Allopathic & Osteopathic Physicians
Allopathic & Osteopathic Physicians
- Pain Medicine (Anesthesiology) Physician207LP2900X
Allopathic & Osteopathic Physicians
Practice location
405 Silverside Rd Ste 104
Wilmington, DE 19809-1768
Phone: (844) 365-7246
Approximate (ZIP-level) locationGet directions
Mailing address
223 Wilmington W Chester Pike Ste 214
Chadds Ford, PA 19317-9007
Registry dates
- Enumerated
- 2019-12-23
- Last updated
- 2019-12-23
- Certified
- 2019-12-23
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.