Full Name | |
---|---|
Speciality | Internal Medicine - Gastroenterology |
Location | 665 Bay Rd, Dover, Delaware |
Authorized Official Name and Position | Michael Tretina (CFO) |
Authorized Official Contact | 3027447162 |
Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
Mailing Address | Practice Location Address |
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640 S State St Dover DE 19901-3530 Ph: (302) 744-7113 | 665 Bay Rd Unit B Dover DE 19901 Ph: (302) 744-9310 |
NPI Number | 1740049626 |
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Provider Enumeration Date | 03/14/2024 |
Last Update Date | 08/14/2024 |
Identifier | Type | State | Issuer |
---|---|---|---|
1740049626 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
207RG0100X | Internal Medicine - Gastroenterology | (* (Not Available)) | Primary |
Lee Dennis, M.d. Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 960 Forest St, Dover, DE 19904 Phone: 302-735-1888 | |