| Wholepath Llc | |
|
720 Wallasey Dr Middletown DE 19709-1547 | |
| (302) 602-6850 | |
| Not Available |
| Full Name | Wholepath Llc |
|---|---|
| Speciality | Clinic/Center |
| Location | 720 Wallasey Dr, Middletown, Delaware |
| Authorized Official Name and Position | Hilda Azefor (PRESIDENT) |
| Authorized Official Contact | 3026026850 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Wholepath Llc 720 Wallasey Dr Middletown DE 19709-1547 Ph: (302) 602-6850 | Wholepath Llc 720 Wallasey Dr Middletown DE 19709-1547 Ph: (302) 602-6850 |
| NPI Number | 1326810078 |
|---|---|
| Provider Enumeration Date | 10/26/2023 |
| Last Update Date | 10/26/2023 |
| Certification Date | 10/26/2023 |
| Medicare PECOS PAC ID | 4587011200 |
|---|---|
| Medicare Enrollment ID | O20231116002921 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1326810078 | NPI | - | NPPES |
| Provider Name | Hilda Azefor |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1477075844 PECOS PAC ID: 5496102113 Enrollment ID: I20240311003179 |
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