| David S. Estock M.d. P.a. | |
|
1403 Foulk Rd Suite 105 Wilmington DE 19803-2788 | |
| (302) 479-0100 | |
| (302) 479-0177 |
| Full Name | David S. Estock M.d. P.a. |
|---|---|
| Speciality | Family Medicine |
| Location | 1403 Foulk Rd, Wilmington, Delaware |
| Authorized Official Name and Position | David Stephen Estock (PHYSICIAN) |
| Authorized Official Contact | 3024790100 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| David S. Estock M.d. P.a. 1403 Foulk Rd Suite 105 Wilmington DE 19803-2788 Ph: (302) 479-0100 | David S. Estock M.d. P.a. 1403 Foulk Rd Suite 105 Wilmington DE 19803-2788 Ph: (302) 479-0100 |
| NPI Number | 1083003875 |
|---|---|
| Provider Enumeration Date | 01/15/2015 |
| Last Update Date | 01/15/2015 |
| Medicare PECOS PAC ID | 4385961572 |
|---|---|
| Medicare Enrollment ID | O20150327000848 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1083003875 | NPI | - | NPPES |
| 0000157501 | Medicaid | DE |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207Q00000X | Family Medicine | C-10003216 (Delaware) | Primary |
| Provider Name | David Stephen Estock |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1275533135 PECOS PAC ID: 6103927363 Enrollment ID: I20070718000721 |
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