Active NPI 1326242744 Individual Practitioner Male Practitioner

Dr. Joseph J Thornton , MD

Plastic Surgery • Newark, DE

✓ Accepts Medicare Assignment

Professional Overview & Biography Verified Profile Summary

Dr. Joseph Thornton, MD is a certified Plastic Surgery practicing in Newark, DE. With approximately 25 years of clinical experience since graduating from Perelman School Of Med At The University Of Pennsylvania in 2001, Dr. Thornton delivers high-quality medical care to the local community at 2600 GLASGOW AVE STE 107.

Dr. Thornton accepts Medicare assignment.

Frequently performed procedures and clinical services include destruction of precancer skin growth, 2-14 growths, tissue transfer repair of wound (10.1 to 30.0 sq centimeters) of the scalp, arms, and/or legs, established patient outpatient office visit. Full Medicare procedure pricing transparency rates and service volume details are listed on this profile.

Practice Location & Contact Primary Location

Practice Address

2600 Glasgow Ave Ste 107

Newark, DE 197025703

Telephone 3028667546

Fax 3022026633

Associated Practice Facility / Clinic

🏢 Joseph J. Thornton, Md, Pa Facility NPI 1952675084

Medicare Profile & Education

Medical School

Perelman School Of Med At The University Of Pennsylvania

Graduation Year

2001

Medicare Assignment

✓ Accepts Assignment

Telehealth Flag

In-Person Only

Specialty Benchmarks & Practice Insights

Comparative analytics for Plastic Surgery in Newark, DE

Senior Veteran Specialist (>20 Yrs)

Practitioner Clinical Experience

25 Yrs -12.5 yrs vs City Avg

City Avg: 37.5 Yrs

State Avg: 33.4 Yrs

Regional Practice Density

4 Specialists

Practicing in Newark, DE (15 Statewide)

Telehealth Adoption Rate

0.0% Regional Adoption

In-Person Office Visits Only

Medicare Pricing Discount

57.6% Avg Savings

Under CMS Medicare Fee Schedule vs Standard Submitted Charges

Clinical Seniority & Experience Comparison

Dr. Thornton (25 Years) 25 Yrs

Newark Specialty Average (37.5 Years) 37.5 Yrs

Performed Procedures & Service Volume

Top Medicare Part B procedures performed by this practitioner

CMS Official Data (2024)

Reporting Year:

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
17003 Destruction of precancer skin growth, 2-14 growths	138	32	$15.00	$6.09
14021 Tissue transfer repair of wound (10.1 to 30.0 sq centimeters) of the scalp, arms, and/or legs	134	128	$1675.00	$779.39
99212 Established patient office or other outpatient visit with straightforward medical decision making, if using time, 10 minutes or more	94	73	$95.00	$51.91
17000 Destruction of skin growth	82	47	$120.00	$56.92
14060 Repair of wound of eyelids, nose, ears, or lips by transferring skin, 10.0 sq cm or less	65	65	$1600.00	$680.95
14040 Repair of wound of forehead, cheeks, chin, mouth, neck, underarms, genitals, hands, or feet by transferring skin, 10.0 sq cm or less	64	61	$1500.00	$652.97
14041 Repair of wound of forehead, cheeks, chin, mouth, neck, underarms, genitals, hands, or feet by transferring skin, 10.1-30.0 sq cm	39	38	$1800.00	$821.02
14001 Repair of wound of trunk by transferring skin, 10.1-30.0 sq cm	35	31	$1600.00	$708.77
14020 Repair of wound of scalp, arms, or legs by transferring skin, 10.0 sq cm or less	34	34	$1470.00	$595.63
99213 Established patient office or other outpatient visit, typically 15 minutes	34	31	$155.00	$84.40
14301 Repair of wound by transferring skin, 30.1-60.0 sq cm	29	27	$2125.00	$985.92
12032 Intermediate repair of wound of scalp, underarms, trunk, arms, or legs, 2.6-7.5 cm	26	26	$600.00	$191.51
15260 Relocation of patient skin to nose, ears, eyelids, and/or lips (20 sq centimeters or less)	24	24	$1950.00	$912.08
11642 Removal of cancer skin growth of face, ears, eyelids, nose, lips, or mouth, 1.1-2.0 cm	18	18	$650.00	$122.10
11104 Punch biopsy, first skin growth	17	16	$300.00	$112.26
13132 Complicated repair of wound of forehead, cheeks, chin, mouth, neck, underarms, genitals, hands, or feet, 2.6-7.5 cm	14	14	$1100.00	$397.98
15240 Relocation of patient skin to forehead, cheeks, chin, mouth, neck, underarms, genitals, hands, and/or feet (20 sq centimeters or less)	14	14	$1890.00	$847.37
11602 Removal of cancer skin growth of body, arms, or legs, 1.1-2.0 cm	13	12	$525.00	$128.32

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
17003 Destruction of precancer skin growth, 2-14 growths	204	46	$15.00	$6.72
99212 Established patient office or other outpatient visit with straightforward medical decision making, if using time, 10 minutes or more	191	105	$95.00	$56.35
17000 Destruction of skin growth	113	62	$120.00	$63.56
99213 Established patient office or other outpatient visit, typically 15 minutes	64	50	$155.00	$89.95
14021 Tissue transfer repair of wound (10.1 to 30.0 sq centimeters) of the scalp, arms, and/or legs	58	57	$1675.00	$845.40
14060 Repair of wound of eyelids, nose, ears, or lips by transferring skin, 10.0 sq cm or less	53	53	$1600.00	$747.11
14040 Repair of wound of forehead, cheeks, chin, mouth, neck, underarms, genitals, hands, or feet by transferring skin, 10.0 sq cm or less	38	36	$1500.00	$750.46
15260 Relocation of patient skin to nose, ears, eyelids, and/or lips (20 sq centimeters or less)	33	33	$1950.00	$969.56
14001 Repair of wound of trunk by transferring skin, 10.1-30.0 sq cm	29	29	$1600.00	$812.19
14041 Repair of wound of forehead, cheeks, chin, mouth, neck, underarms, genitals, hands, or feet by transferring skin, 10.1-30.0 sq cm	29	27	$1800.00	$907.08
14020 Repair of wound of scalp, arms, or legs by transferring skin, 10.0 sq cm or less	27	25	$1470.00	$704.75
14301 Repair of wound by transferring skin, 30.1-60.0 sq cm	25	25	$2125.00	$1085.42
13121 Repair of wound (2.6 to 7.5 centimeters) of scalp, arms, and/or legs	22	20	$1000.00	$360.38
12032 Intermediate repair of wound of scalp, underarms, trunk, arms, or legs, 2.6-7.5 cm	18	18	$600.00	$212.43
99203 New patient office or other outpatient visit with low level of medical decision making, if using time, 30 minutes or more	17	17	$230.00	$111.54
11104 Punch biopsy, first skin growth	14	12	$300.00	$113.38
11622 Removal of cancer skin growth of scalp, neck, hands, feet, or genitals, 1.1-2.0 cm	14	12	$550.00	$136.03
11602 Removal of cancer skin growth of body, arms, or legs, 1.1-2.0 cm	14	14	$525.00	$122.95
15220 Relocation of patient skin (20 sq centimeters or less) to scalp, arms, and/or legs	13	13	$1680.00	$741.07
11642 Removal of cancer skin growth of face, ears, eyelids, nose, lips, or mouth, 1.1-2.0 cm	12	12	$650.00	$134.46
13101 Complicated repair of wound of trunk, 2.6-7.5 cm	12	12	$1000.00	$350.46
13132 Complicated repair of wound of forehead, cheeks, chin, mouth, neck, underarms, genitals, hands, or feet, 2.6-7.5 cm	11	11	$1100.00	$417.47

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
17003 Destruction of precancer skin growth, 2-14 growths	202	52	$15.00	$7.05
99212 Established patient office or other outpatient visit with straightforward medical decision making, if using time, 10 minutes or more	182	136	$95.00	$57.68
99213 Established patient office or other outpatient visit, typically 15 minutes	153	113	$155.00	$93.08
17000 Destruction of skin growth	115	71	$120.00	$64.29
14060 Repair of wound of eyelids, nose, ears, or lips by transferring skin, 10.0 sq cm or less	62	61	$1600.00	$743.47
13121 Repair of wound (2.6 to 7.5 centimeters) of scalp, arms, and/or legs	57	55	$1000.00	$394.77
14040 Repair of wound of forehead, cheeks, chin, mouth, neck, underarms, genitals, hands, or feet by transferring skin, 10.0 sq cm or less	51	50	$1500.00	$765.11
14021 Tissue transfer repair of wound (10.1 to 30.0 sq centimeters) of the scalp, arms, and/or legs	44	43	$1675.00	$879.95
15260 Relocation of patient skin to nose, ears, eyelids, and/or lips (20 sq centimeters or less)	42	41	$1950.00	$1025.24
14020 Repair of wound of scalp, arms, or legs by transferring skin, 10.0 sq cm or less	41	41	$1470.00	$704.96
J3301 Injection, triamcinolone acetonide, not otherwise specified, 10 mg	39	13	$15.77	$1.14
99203 New patient office or other outpatient visit with low level of medical decision making, if using time, 30 minutes or more	33	33	$230.00	$114.89
13101 Complicated repair of wound of trunk, 2.6-7.5 cm	27	24	$1000.00	$362.59
11642 Removal of cancer skin growth of face, ears, eyelids, nose, lips, or mouth, 1.1-2.0 cm	27	27	$650.00	$144.34
13132 Complicated repair of wound of forehead, cheeks, chin, mouth, neck, underarms, genitals, hands, or feet, 2.6-7.5 cm	26	26	$1100.00	$435.85
14041 Repair of wound of forehead, cheeks, chin, mouth, neck, underarms, genitals, hands, or feet by transferring skin, 10.1-30.0 sq cm	25	24	$1800.00	$907.51
11900 Injection into skin growth, 1-7 growths	20	12	$150.00	$58.80
15220 Relocation of patient skin (20 sq centimeters or less) to scalp, arms, and/or legs	20	20	$1680.00	$731.50
11602 Removal of cancer skin growth of body, arms, or legs, 1.1-2.0 cm	20	19	$525.00	$127.08
12032 Intermediate repair of wound of scalp, underarms, trunk, arms, or legs, 2.6-7.5 cm	19	18	$600.00	$250.19
11603 Removal of cancer skin growth of body, arms, or legs, 2.1-3.0 cm	18	17	$600.00	$144.73
14001 Repair of wound of trunk by transferring skin, 10.1-30.0 sq cm	18	18	$1600.00	$813.21
15004 Preparation of skin graft site of face, scalp, eyelids, mouth, neck, ears, around eyes, genitals, hands, feet, fingers, or toes, 100.0 sq cm or 1% body area for infants and children, or less	16	15	$900.00	$387.36
17110 Destruction of up to 14 skin growths	16	15	$250.00	$118.11
15240 Relocation of patient skin to forehead, cheeks, chin, mouth, neck, underarms, genitals, hands, and/or feet (20 sq centimeters or less)	15	15	$1890.00	$908.50
11104 Punch biopsy, first skin growth	14	14	$300.00	$133.14
11604 Removal of cancer skin growth of body, arms, or legs, 3.1-4.0 cm	13	11	$700.00	$173.12
11622 Removal of cancer skin growth of scalp, neck, hands, feet, or genitals, 1.1-2.0 cm	12	12	$550.00	$131.24

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
17003 Destruction of precancer skin growth, 2-14 growths	235	48	$17.50	$6.75
99212 Established patient office or other outpatient visit with straightforward medical decision making, if using time, 10 minutes or more	232	159	$95.00	$57.55
99213 Established patient office or other outpatient visit, typically 15 minutes	113	96	$155.00	$92.90
17000 Destruction of skin growth	102	66	$120.00	$62.94
13121 Repair of wound (2.6 to 7.5 centimeters) of scalp, arms, and/or legs	73	73	$1197.48	$415.04
14060 Repair of wound of eyelids, nose, ears, or lips by transferring skin, 10.0 sq cm or less	52	51	$1600.00	$774.42
13132 Complicated repair of wound of forehead, cheeks, chin, mouth, neck, underarms, genitals, hands, or feet, 2.6-7.5 cm	47	46	$1235.00	$465.88
11104 Punch biopsy, first skin growth	34	33	$154.12	$131.45
99203 New patient office or other outpatient visit with low level of medical decision making, if using time, 30 minutes or more	33	33	$230.00	$114.87
14040 Repair of wound of forehead, cheeks, chin, mouth, neck, underarms, genitals, hands, or feet by transferring skin, 10.0 sq cm or less	30	30	$1500.00	$754.98
13101 Complicated repair of wound of trunk, 2.6-7.5 cm	30	30	$869.33	$380.18
11622 Removal of cancer skin growth of scalp, neck, hands, feet, or genitals, 1.1-2.0 cm	28	24	$509.82	$132.58
15260 Relocation of patient skin to nose, ears, eyelids, and/or lips (20 sq centimeters or less)	27	27	$1950.00	$1028.36
11602 Removal of cancer skin growth of body, arms, or legs, 1.1-2.0 cm	25	24	$419.20	$128.54
11642 Removal of cancer skin growth of face, ears, eyelids, nose, lips, or mouth, 1.1-2.0 cm	23	22	$613.48	$152.67
J3301 Injection, triamcinolone acetonide, not otherwise specified, 10 mg	21	12	$20.00	$1.29
12032 Intermediate repair of wound of scalp, underarms, trunk, arms, or legs, 2.6-7.5 cm	21	21	$799.05	$259.64
14041 Repair of wound of forehead, cheeks, chin, mouth, neck, underarms, genitals, hands, or feet by transferring skin, 10.1-30.0 sq cm	18	18	$1400.00	$949.42
15220 Relocation of patient skin (20 sq centimeters or less) to scalp, arms, and/or legs	17	17	$1680.00	$774.37
11603 Removal of cancer skin growth of body, arms, or legs, 2.1-3.0 cm	16	15	$460.00	$145.91
14020 Repair of wound of scalp, arms, or legs by transferring skin, 10.0 sq cm or less	15	15	$1470.00	$698.74
99211 Office or other outpatient visit for the evaluation and management of established patient that may not require presence of healthcare professional	14	14	$50.00	$23.40
14021 Tissue transfer repair of wound (10.1 to 30.0 sq centimeters) of the scalp, arms, and/or legs	14	14	$1972.14	$890.88
99202 New patient office or other outpatient visit, typically 20 minutes	11	11	$165.00	$74.75
15240 Relocation of patient skin to forehead, cheeks, chin, mouth, neck, underarms, genitals, hands, and/or feet (20 sq centimeters or less)	11	11	$1890.00	$960.39

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
17003 Destruction of precancer skin growth, 2-14 growths	397	64	$18.00	$6.26
99213 Established patient office or other outpatient visit, typically 15 minutes	390	213	$155.00	$77.42
99212 Established patient office or other outpatient visit with straightforward medical decision making, if using time, 10 minutes or more	156	114	$95.00	$46.53
17000 Destruction of skin growth	135	79	$120.00	$62.73
99203 New patient office or other outpatient visit with low level of medical decision making, if using time, 30 minutes or more	100	100	$230.00	$110.26
13121 Repair of wound (2.6 to 7.5 centimeters) of scalp, arms, and/or legs	75	74	$1212.00	$414.21
14040 Repair of wound of forehead, cheeks, chin, mouth, neck, underarms, genitals, hands, or feet by transferring skin, 10.0 sq cm or less	51	50	$1500.00	$784.37
13132 Complicated repair of wound of forehead, cheeks, chin, mouth, neck, underarms, genitals, hands, or feet, 2.6-7.5 cm	45	44	$1235.00	$459.85
11104 Punch biopsy, first skin growth	36	34	$140.00	$127.65
14021 Tissue transfer repair of wound (10.1 to 30.0 sq centimeters) of the scalp, arms, and/or legs	35	35	$1995.00	$889.57
11602 Removal of cancer skin growth of body, arms, or legs, 1.1-2.0 cm	33	28	$410.00	$133.10
13101 Complicated repair of wound of trunk, 2.6-7.5 cm	32	32	$860.00	$386.18
14060 Repair of wound of eyelids, nose, ears, or lips by transferring skin, 10.0 sq cm or less	29	29	$1600.00	$750.23
15260 Relocation of patient skin to nose, ears, eyelids, and/or lips (20 sq centimeters or less)	28	28	$1950.00	$1047.01
14041 Repair of wound of forehead, cheeks, chin, mouth, neck, underarms, genitals, hands, or feet by transferring skin, 10.1-30.0 sq cm	25	24	$1228.00	$950.14
12032 Intermediate repair of wound of scalp, underarms, trunk, arms, or legs, 2.6-7.5 cm	24	23	$820.00	$275.74
17110 Destruction of up to 14 skin growths	23	21	$175.00	$111.42
J3301 Injection, triamcinolone acetonide, not otherwise specified, 10 mg	22	11	$20.00	$1.46
15240 Relocation of patient skin to forehead, cheeks, chin, mouth, neck, underarms, genitals, hands, and/or feet (20 sq centimeters or less)	18	18	$1890.00	$948.46
14001 Repair of wound of trunk by transferring skin, 10.1-30.0 sq cm	18	18	$1890.00	$837.43
11622 Removal of cancer skin growth of scalp, neck, hands, feet, or genitals, 1.1-2.0 cm	17	16	$505.00	$149.14
14020 Repair of wound of scalp, arms, or legs by transferring skin, 10.0 sq cm or less	16	15	$1470.00	$726.72
15220 Relocation of patient skin (20 sq centimeters or less) to scalp, arms, and/or legs	16	16	$1680.00	$782.31
11900 Injection into skin growth, 1-7 growths	15	11	$150.00	$57.48
11642 Removal of cancer skin growth of face, ears, eyelids, nose, lips, or mouth, 1.1-2.0 cm	15	14	$610.00	$150.73
11623 Removal of cancer skin growth of scalp, neck, hands, feet, or genitals, 2.1-3.0 cm	15	13	$715.00	$166.95
13102 Complicated repair of wound of trunk, each additional 5.0 cm or less	14	14	$360.00	$125.22

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
17003 Destruction of precancer skin growth, 2-14 growths	439	73	$18.00	$5.81
99212 Established patient office or other outpatient visit with straightforward medical decision making, if using time, 10 minutes or more	318	173	$95.00	$45.60
99213 Established patient office or other outpatient visit, typically 15 minutes	200	144	$155.00	$75.29
17000 Destruction of skin growth	154	101	$120.00	$61.43
99203 New patient office or other outpatient visit with low level of medical decision making, if using time, 30 minutes or more	114	114	$230.00	$110.54
11104 Punch biopsy, first skin growth	35	34	$140.00	$125.80
J3301 Injection, triamcinolone acetonide, not otherwise specified, 10 mg	34	15	$20.00	$1.59
14021 Tissue transfer repair of wound (10.1 to 30.0 sq centimeters) of the scalp, arms, and/or legs	29	28	$1995.00	$899.46
14001 Repair of wound of trunk by transferring skin, 10.1-30.0 sq cm	24	24	$1890.00	$794.34
17110 Destruction of up to 14 skin growths	23	21	$175.00	$101.14
11900 Injection into skin growth, 1-7 growths	21	14	$150.00	$50.56
14020 Repair of wound of scalp, arms, or legs by transferring skin, 10.0 sq cm or less	20	20	$1470.00	$684.87
15220 Relocation of patient skin (20 sq centimeters or less) to scalp, arms, and/or legs	19	18	$1680.00	$800.47
13101 Complicated repair of wound of trunk, 2.6-7.5 cm	18	18	$860.00	$355.66
14060 Repair of wound of eyelids, nose, ears, or lips by transferring skin, 10.0 sq cm or less	18	18	$1600.00	$779.68
13121 Repair of wound (2.6 to 7.5 centimeters) of scalp, arms, and/or legs	18	18	$1212.00	$419.89
17004 Destruction of precancer skin growth, 15 or more growths	17	12	$280.00	$156.44
13132 Complicated repair of wound of forehead, cheeks, chin, mouth, neck, underarms, genitals, hands, or feet, 2.6-7.5 cm	16	16	$1235.00	$464.62
12032 Intermediate repair of wound of scalp, underarms, trunk, arms, or legs, 2.6-7.5 cm	15	13	$820.00	$243.10
14040 Repair of wound of forehead, cheeks, chin, mouth, neck, underarms, genitals, hands, or feet by transferring skin, 10.0 sq cm or less	14	14	$1500.00	$787.25
14000 Repair of wound of trunk by transferring skin, 10.0 sq cm or less	13	13	$1365.00	$646.22
14041 Repair of wound of forehead, cheeks, chin, mouth, neck, underarms, genitals, hands, or feet by transferring skin, 10.1-30.0 sq cm	12	12	$1900.00	$970.40
13102 Complicated repair of wound of trunk, each additional 5.0 cm or less	11	11	$360.00	$125.59

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
17003 Destruction of precancer skin growth, 2-14 growths	322	60	$18.00	$5.25
99212 Established patient office or other outpatient visit with straightforward medical decision making, if using time, 10 minutes or more	273	152	$95.00	$43.40
17000 Destruction of skin growth	132	77	$120.00	$63.07
99213 Established patient office or other outpatient visit, typically 15 minutes	127	98	$155.00	$72.33
99203 New patient office or other outpatient visit with low level of medical decision making, if using time, 30 minutes or more	99	99	$230.00	$106.49
14021 Tissue transfer repair of wound (10.1 to 30.0 sq centimeters) of the scalp, arms, and/or legs	22	22	$1995.00	$871.86
14040 Repair of wound of forehead, cheeks, chin, mouth, neck, underarms, genitals, hands, or feet by transferring skin, 10.0 sq cm or less	20	19	$1500.00	$743.50
14001 Repair of wound of trunk by transferring skin, 10.1-30.0 sq cm	18	17	$1890.00	$782.96

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
99212 Established patient office or other outpatient visit with straightforward medical decision making, if using time, 10 minutes or more	283	149	$95.00	$44.17
17003 Destruction of precancer skin growth, 2-14 growths	209	51	$18.00	$5.78
99203 New patient office or other outpatient visit with low level of medical decision making, if using time, 30 minutes or more	106	105	$230.00	$108.68
99213 Established patient office or other outpatient visit, typically 15 minutes	103	87	$155.00	$74.36
17000 Destruction of skin growth	94	62	$120.00	$65.06
11100 Biopsy of single growth of skin and/or tissue	15	15	$140.00	$106.01

Medical Specialties & State Licenses

CMS Verified: 2021-05-10

Plastic Surgery Primary Specialty

NUCC Taxonomy Code: 208200000X

State License DE C1-0008322

A plastic surgeon deals with the repair, reconstruction or replacement of physical defects of form or function involving the skin, musculoskeletal system, craniomaxillofacial structures, hand, extremities, breast and trunk and external genitalia or cosmetic enhancement of these areas of the body. Cosmetic surgery is an essential component of plastic surgery. The plastic surgeon uses cosmetic surgical principles to both improve overall appearance and to optimize the outcome of reconstructive procedures. The surgeon uses aesthetic surgical principles not only to improve undesirable qualities of normal structures but in all reconstructive procedures as well.

Secondary Practice Locations

18947 John J Williams Hwy Unit 306

Rehoboth Beach, DE 199714477

Phone: 3028667546

Career & Practice History Timeline

Chronological log of verified NPI updates, location relocations, credentials, and registry changes

8 Historical Events

📍

Updated Practice Location October 20, 2021

Registered at 2600 GLASGOW AVE STE 107, NEWARK, DE 197025703 (Tel: 3028667546)

📍

Updated Business Mailing Address October 20, 2021

Registered at 2600 GLASGOW AVE STE 107, NEWARK, DE 197025703 (Tel: 3028667546)

✅

NPI Profile Active December 27, 2016

NPI status registered as active in NPPES database

📍

Updated Practice Location December 27, 2016

Registered at 774 CHRISTIANA RD STE 101, NEWARK, DE 197134248 (Tel: 3023550055)

📍

Updated Business Mailing Address December 27, 2016

Registered at 774 CHRISTIANA ROAD, SUITE 101, NEWARK, DE 197134248 (Tel: 3023550055)

👤

Provider Name / Credentials Updated December 27, 2016

Recorded as JOSEPH THORNTON, MD

🎓

Medical Taxonomy / Specialty Registered (Primary Specialty) December 27, 2016

Plastic Surgery (License #C1-0008322 in DE)

🟢

Initial NPI Registration & Enumeration June 11, 2007

First registered as active Individual Practitioner in NPPES Database.

Patient & Community Reviews

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NPI Administrative Meta

NPI Number: 1326242744

Entity Type:

Individual Provider Physician, Nurse Practitioner, or Solo Healthcare Professional (Type 1 NPI)

Enumeration Date: June 11, 2007

Last Update: October 20, 2021

Sole Proprietor: Yes

Update or Correct Profile

Mailing Address

2600 Glasgow Ave Ste 107

Newark, DE 197025703

Phone: 3028667546

Public Domain Record This profile contains public domain information published by CMS and NPPES under the Freedom of Information Act (FOIA).

⚠️ Medical Disclaimer

This directory listing is for informational purposes only and does not constitute medical advice, diagnosis, or physician endorsement. If you are experiencing a medical emergency, please call 911 immediately.