Mariam M Basma, RD | |
640 S State St, Dover, DE 19901-3530 | |
(302) 744-6842 | |
Not Available |
Full Name | Mariam M Basma |
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Gender | Female |
Speciality | Dietitian, Registered |
Location | 640 S State St, Dover, Delaware |
Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
Identifier | Type | State | Issuer |
---|---|---|---|
1073575239 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
133V00000X | Dietitian, Registered | DN-0000224 (Delaware) | Primary |
Provider Name | Openloop Healthcare Partners Pc |
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Provider Type | Part B Supplier - Clinic/group Practice |
Provider Identifiers | NPI Number: 1245820661 PECOS PAC ID: 2668871898 Enrollment ID: O20210928000424 |
Mailing Address | Practice Location Address |
---|---|
Mariam M Basma, RD 6 Maureen Way, Bear, DE 19701-6338 Ph: (302) 836-9476 | Mariam M Basma, RD 640 S State St, Dover, DE 19901-3530 Ph: (302) 744-6842 |
Lisa Garlick, Dietitian Medicare: Not Enrolled in Medicare Practice Location: 748 S New St, Suites C & D, Dover, DE 19904 Phone: 302-734-3227 Fax: 302-734-0391 | |
Dawn Santacroce, RDN LDN Dietitian Medicare: Not Enrolled in Medicare Practice Location: 640 S State St, Dover, DE 19901 Phone: 302-744-6235 | |
Mrs. Rebecca Ann Montano, RD, LDN Dietitian Medicare: Not Enrolled in Medicare Practice Location: 25 Maggies Way, Dover, DE 19901 Phone: 302-450-3217 | |
Kristin Elizabeth Blackway, RD, LDN Dietitian Medicare: Not Enrolled in Medicare Practice Location: 640 S State St, Dover, DE 19901 Phone: 302-744-6597 | |
Lee Ann Kessler, RD Dietitian Medicare: Medicare Enrolled Practice Location: 103 Wolf Creek Blvd Ste 2, Dover, DE 19901 Phone: 302-744-6307 Fax: 302-730-3047 | |
Adriana Tavares Simoes, RD, LDN Dietitian Medicare: Not Enrolled in Medicare Practice Location: 640 S State St, Dover, DE 19901 Phone: 302-744-6396 |