| Camden Walk-in Llc | |
|
4601 S Dupont Hwy Suite 2 Dover DE 19901 | |
| (302) 698-1100 | |
| Not Available |
| Full Name | Camden Walk-in Llc |
|---|---|
| Speciality | Family Medicine |
| Location | 4601 S Dupont Hwy, Dover, Delaware |
| Authorized Official Name and Position | Ronnie N Diem (COO) |
| Authorized Official Contact | 3026981100 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Camden Walk-in Llc 4601 S Dupont Hwy Suite 2 Dover DE 19901-6405 Ph: (302) 698-1100 | Camden Walk-in Llc 4601 S Dupont Hwy Suite 2 Dover DE 19901 Ph: (302) 698-1100 |
| NPI Number | 1528463684 |
|---|---|
| Provider Enumeration Date | 10/30/2014 |
| Last Update Date | 08/29/2018 |
| Medicare PECOS PAC ID | 5698094498 |
|---|---|
| Medicare Enrollment ID | O20150429000585 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1528463684 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207Q00000X | Family Medicine | 2014606438 (Delaware) | Primary |
| 261QU0200X | Clinic/center - Urgent Care | 2014606438 (Delaware) | Secondary |
| Provider Name | John T Pearson |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1962400655 PECOS PAC ID: 6901886928 Enrollment ID: I20040721000950 |
| Provider Name | Lawrence M Lewandowski |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1134191422 PECOS PAC ID: 9739109620 Enrollment ID: I20051207000365 |
| Provider Name | Philip W Hsu |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1396283180 PECOS PAC ID: 9133493836 Enrollment ID: I20170919003056 |
| Provider Name | Hillary A Miranda |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1720441405 PECOS PAC ID: 5991045130 Enrollment ID: I20190613000028 |
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