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1221 College Park Dr Ste 203 Dover DE 19904-8727 | |
| (302) 387-1407 | |
| (877) 381-4173 |
| Full Name | |
|---|---|
| Speciality | Physical Medicine & Rehabilitation |
| Location | 1221 College Park Dr Ste 203, Dover, Delaware |
| Authorized Official Name and Position | Jessica Sampathkumar (OWNER) |
| Authorized Official Contact | 3023871407 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
1221 College Park Dr Ste 203 Dover DE 19904-8727 Ph: (302) 387-1407 | 1221 College Park Dr Ste 203 Dover DE 19904-8727 Ph: (302) 387-1407 |
| NPI Number | 1174192827 |
|---|---|
| Provider Enumeration Date | 06/17/2021 |
| Last Update Date | 02/05/2025 |
| Certification Date | 02/05/2025 |
| Medicare PECOS PAC ID | 0345644357 |
|---|---|
| Medicare Enrollment ID | O20210812000147 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1174192827 | NPI | - | NPPES |
| 1568803575 | Medicaid | DE |
| Provider Name | Keyma S Jones |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1851710164 PECOS PAC ID: 2769602457 Enrollment ID: I20141001000114 |
| Provider Name | Haresh Sampathkumar |
|---|---|
| Provider Type | Practitioner - Physical Medicine And Rehabilitation |
| Provider Identifiers | NPI Number: 1568803575 PECOS PAC ID: 3779810510 Enrollment ID: I20190816000313 |
| Provider Name | Christopher D Curcio |
|---|---|
| Provider Type | Practitioner - Chiropractic |
| Provider Identifiers | NPI Number: 1326765595 PECOS PAC ID: 8729510128 Enrollment ID: I20241009004538 |
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