| Atlantic Adult And Pediatric Medicine, Pa | |
|
34435 King Street Row Ste 1 Lewes DE 19958-4787 | |
| (302) 644-1300 | |
| (302) 644-1086 |
| Full Name | Atlantic Adult And Pediatric Medicine, Pa |
|---|---|
| Speciality | Family Medicine |
| Location | 34435 King Street Row Ste 1, Lewes, Delaware |
| Authorized Official Name and Position | Charles Stanislav (PHYSICIAN) |
| Authorized Official Contact | 3026441085 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Atlantic Adult And Pediatric Medicine, Pa 34435 King Street Row Ste 1 Lewes DE 19958-4787 Ph: (302) 644-1300 | Atlantic Adult And Pediatric Medicine, Pa 34435 King Street Row Ste 1 Lewes DE 19958-4787 Ph: (302) 644-1300 |
| NPI Number | 1801958863 |
|---|---|
| Provider Enumeration Date | 12/15/2006 |
| Last Update Date | 12/01/2011 |
| Medicare PECOS PAC ID | 7911809173 |
|---|---|
| Medicare Enrollment ID | O20040127000359 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1801958863 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207Q00000X | Family Medicine | (* (Not Available)) | Primary |
| Provider Name | Lisa M Bartels |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1548449754 PECOS PAC ID: 0840436648 Enrollment ID: I20130424000369 |
| Provider Name | Katelin Michele Haley |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1912256512 PECOS PAC ID: 6204068448 Enrollment ID: I20191029002626 |
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