| |
2150 New Castle Ave, New Castle, DE 19720-2009 | |
(302) 529-8783 | |
(302) 529-1586 |
Full Name | |
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Type | Facility |
Speciality | Physical Medicine & Rehabilitation |
Location | 2150 New Castle Ave, New Castle, Delaware |
Accepts Medicare Assignments | Does not participate in Medicare Program. The facility may not accept medicare assignment. |
Identifier | Type | State | Issuer |
---|---|---|---|
1548582752 | NPI | - | NPPES |
14704 | Medicaid | DE | |
2272852000 | Other | DE | AMERIHEALTH |
CC5686 | Other | DE | RAILROAD MEDICARE |
386606954 | Other | DE | BC/BS |
5707129 | Other | DE | AETNA |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
111N00000X | Chiropractor | (* (Not Available)) | Secondary |
208100000X | Physical Medicine & Rehabilitation | (* (Not Available)) | Primary |
Mailing Address | Practice Location Address |
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2006 Foulk Rd, Suite B, Wilmington, DE 19810-3644 Ph: (302) 529-8783 | 2150 New Castle Ave, New Castle, DE 19720-2009 Ph: (302) 529-8783 |