| Cnmri Pa | |
|
1095 S Bradford St Dover DE 19904-4141 | |
| (302) 678-8100 | |
| (888) 990-1108 |
| Full Name | Cnmri Pa |
|---|---|
| Speciality | Psychiatry & Neurology - Neurology |
| Location | 1095 S Bradford St, Dover, Delaware |
| Authorized Official Name and Position | Tammy Rust (AUTHORIZED OFFICIAL) |
| Authorized Official Contact | 3023462491 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Cnmri Pa 1074 S State St Dover DE 19901-6925 Ph: () - | Cnmri Pa 1095 S Bradford St Dover DE 19904-4141 Ph: (302) 678-8100 |
| NPI Number | 1952656159 |
|---|---|
| Provider Enumeration Date | 07/13/2012 |
| Last Update Date | 01/29/2021 |
| Certification Date | 01/29/2021 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1952656159 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 2084N0400X | Psychiatry & Neurology - Neurology | (* (Not Available)) | Primary |
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