Coastal Primary Care | |
4601 South Dupont Highway St 1 Dover DE 19901 | |
(302) 698-1100 | |
Not Available |
Full Name | Coastal Primary Care |
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Speciality | Family Medicine |
Location | 4601 South Dupont Highway, Dover, Delaware |
Authorized Official Name and Position | Ronnie Diem (OWNER) |
Authorized Official Contact | 3023319026 |
Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
Mailing Address | Practice Location Address |
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Coastal Primary Care 4601 South Dupont Highway St 1 Dover DE 19901 Ph: (302) 331-9026 | Coastal Primary Care 4601 South Dupont Highway St 1 Dover DE 19901 Ph: (302) 698-1100 |
NPI Number | 1750064390 |
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Provider Enumeration Date | 08/10/2023 |
Last Update Date | 09/05/2023 |
Medicare PECOS PAC ID | 3274988977 |
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Medicare Enrollment ID | O20231016003067 |
Identifier | Type | State | Issuer |
---|---|---|---|
1750064390 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
207Q00000X | Family Medicine | (* (Not Available)) | Primary |
Provider Name | Harold Spangler |
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Provider Type | Practitioner - Emergency Medicine |
Provider Identifiers | NPI Number: 1871570200 PECOS PAC ID: 5597662346 Enrollment ID: I20050628000901 |
Provider Name | Lawrence M Lewandowski |
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Provider Type | Practitioner - Family Practice |
Provider Identifiers | NPI Number: 1134191422 PECOS PAC ID: 9739109620 Enrollment ID: I20051207000365 |
Provider Name | Brooke Lea Zingone |
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Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1356991368 PECOS PAC ID: 4789036419 Enrollment ID: I20240118002385 |
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