| |
505 Lakeview Ave, Milford, DE 19963 | |
(302) 424-1760 | |
(302) 424-1761 |
Full Name | |
---|---|
Type | Facility |
Speciality | Podiatrist - Foot Surgery |
Location | 505 Lakeview Ave, Milford, Delaware |
Accepts Medicare Assignments | Does not participate in Medicare Program. The facility may not accept medicare assignment. |
Identifier | Type | State | Issuer |
---|---|---|---|
1528111788 | NPI | - | NPPES |
1000000003 | Medicaid | DE |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
213E00000X | Podiatrist | E10000109 (Delaware) | Secondary |
213ES0131X | Podiatrist - Foot Surgery | E10000109 (Delaware) | Primary |
Mailing Address | Practice Location Address |
---|---|
Po Box 165, 505 Lakeview Ave, Milford, DE 19963 Ph: (302) 424-1760 | 505 Lakeview Ave, Milford, DE 19963 Ph: (302) 424-1760 |
Dr. Edwin M. Mow, D.P.M. Podiatrist Medicare: Not Enrolled in Medicare Practice Location: 505 Lakeview Ave, Milford, DE 19963 Phone: 302-424-1760 | |