| |
87b Omega Dr, Newark, DE 19713-2065 | |
(302) 733-0980 | |
Not Available |
Full Name | |
---|---|
Type | Facility |
Speciality | Physical Medicine & Rehabilitation |
Location | 87b Omega Dr, Newark, Delaware |
Accepts Medicare Assignments | Does not participate in Medicare Program. The facility may not accept medicare assignment. |
Identifier | Type | State | Issuer |
---|---|---|---|
1184946394 | NPI | - | NPPES |
5707129 | Other | DE | AETNA PPO |
CC5686 | Other | DE | RAILROAD MEDICARE |
147504 | Medicaid | DE | |
6315910004 | Other | DE | PTAN |
0632730 | Other | DE | AETNA HMO |
2272852000 | Other | DE | AMERIHEALTH |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
111N00000X | Chiropractor | (* (Not Available)) | Secondary |
208100000X | Physical Medicine & Rehabilitation | (* (Not Available)) | Primary |
Mailing Address | Practice Location Address |
---|---|
2006 Foulk Rd, Suite B, Wilmington, DE 19810-3644 Ph: (302) 733-0980 | 87b Omega Dr, Newark, DE 19713-2065 Ph: (302) 733-0980 |