| Cnmri | |
|
1095 S Bradford St Dover DE 19904-4141 | |
| (302) 678-8100 | |
| Not Available |
| Full Name | Cnmri |
|---|---|
| Speciality | Psychiatry & Neurology - Neurology |
| Location | 1095 S Bradford St, Dover, Delaware |
| Authorized Official Name and Position | Audrey A Lenox (PRACTICE MANAGER) |
| Authorized Official Contact | 3023462491 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Cnmri 1095 S Bradford St Dover DE 19904-4141 Ph: (302) 678-8100 | Cnmri 1095 S Bradford St Dover DE 19904-4141 Ph: (302) 678-8100 |
| NPI Number | 1861449498 |
|---|---|
| Provider Enumeration Date | 05/28/2006 |
| Last Update Date | 02/16/2022 |
| Certification Date | 02/16/2022 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1861449498 | NPI | - | NPPES |
| 000059401 | Medicaid | DE | |
| C10002687 | Other | DE | MEDICAL LICENSE |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 2084N0400X | Psychiatry & Neurology - Neurology | C10002687 (Delaware) | Primary |
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