Bancroft Internal Medicine Pa | |
1806 N Van Buren Street Suite 200 Wilmington DE 19802-3851 | |
(302) 652-3771 | |
(302) 652-3773 |
Full Name | Bancroft Internal Medicine Pa |
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Speciality | Internal Medicine |
Location | 1806 N Van Buren Street, Wilmington, Delaware |
Authorized Official Name and Position | Robert G Altschuler (PRESIDENT) |
Authorized Official Contact | 3026523771 |
Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
Mailing Address | Practice Location Address |
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Bancroft Internal Medicine Pa 1806 N Van Buren Street Suite 200 Wilmington DE 19802-3851 Ph: (302) 652-3771 | Bancroft Internal Medicine Pa 1806 N Van Buren Street Suite 200 Wilmington DE 19802-3851 Ph: (302) 652-3771 |
NPI Number | 1164536322 |
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Provider Enumeration Date | 08/17/2006 |
Last Update Date | 06/09/2008 |
Medicare PECOS PAC ID | 7012966906 |
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Medicare Enrollment ID | O20050118000789 |
Identifier | Type | State | Issuer |
---|---|---|---|
1164536322 | NPI | - | NPPES |
000079902 | Medicaid | DE |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
207R00000X | Internal Medicine | (* (Not Available)) | Primary |
Provider Name | Cynthia Heldt |
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Provider Type | Practitioner - Internal Medicine |
Provider Identifiers | NPI Number: 1679550750 PECOS PAC ID: 2668559410 Enrollment ID: I20080404000144 |
Provider Name | Erik A Underhill |
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Provider Type | Practitioner - Internal Medicine |
Provider Identifiers | NPI Number: 1881767382 PECOS PAC ID: 0446338974 Enrollment ID: I20080423000440 |
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