Abigail Family Practice, Llc | |
412 Suburban Dr Newark DE 19711-3564 | |
(302) 738-3770 | |
(302) 738-4749 |
Full Name | Abigail Family Practice, Llc |
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Speciality | Family Medicine |
Location | 412 Suburban Dr, Newark, Delaware |
Authorized Official Name and Position | Luke Horah (OFFICE MANAGER) |
Authorized Official Contact | 4435536114 |
Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
Mailing Address | Practice Location Address |
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Abigail Family Practice, Llc Po Box 147 Newark DE 19715-0147 Ph: (302) 738-3770 | Abigail Family Practice, Llc 412 Suburban Dr Newark DE 19711-3564 Ph: (302) 738-3770 |
NPI Number | 1669098836 |
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Provider Enumeration Date | 06/23/2020 |
Last Update Date | 06/23/2020 |
Medicare PECOS PAC ID | 5092129429 |
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Medicare Enrollment ID | O20210127000219 |
Identifier | Type | State | Issuer |
---|---|---|---|
1669098836 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
207QA0505X | Family Medicine - Adult Medicine | (* (Not Available)) | Primary |
Provider Name | Christine Edith Horah |
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Provider Type | Practitioner - Family Practice |
Provider Identifiers | NPI Number: 1760484018 PECOS PAC ID: 8729982335 Enrollment ID: I20031125000553 |
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