| |
16 Old Rudnick Ln, Dover, DE 19901-4912 | |
(302) 734-1760 | |
Not Available |
Full Name | |
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Type | Facility |
Speciality | Ophthalmology |
Location | 16 Old Rudnick Ln, Dover, Delaware |
Accepts Medicare Assignments | Does not participate in Medicare Program. The facility may not accept medicare assignment. |
Identifier | Type | State | Issuer |
---|---|---|---|
1770099269 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
152W00000X | Optometrist | (* (Not Available)) | Secondary |
207W00000X | Ophthalmology | (* (Not Available)) | Primary |
Mailing Address | Practice Location Address |
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833 S Governors Ave, Dover, DE 19904-4158 Ph: (302) 674-1121 | 16 Old Rudnick Ln, Dover, DE 19901-4912 Ph: (302) 734-1760 |