Dc Medical Services, Llc | |
10 W Laurel St Georgetown DE 19947-1424 | |
(302) 855-0915 | |
(302) 855-0914 |
Full Name | Dc Medical Services, Llc |
---|---|
Speciality | Internal Medicine |
Location | 10 W Laurel St, Georgetown, Delaware |
Authorized Official Name and Position | Jona D. Gorra (PARTNER) |
Authorized Official Contact | 3028550915 |
Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
Mailing Address | Practice Location Address |
---|---|
Dc Medical Services, Llc 10 W Laurel St Georgetown DE 19947-1424 Ph: (302) 855-0915 | Dc Medical Services, Llc 10 W Laurel St Georgetown DE 19947-1424 Ph: (302) 855-0915 |
NPI Number | 1528083433 |
---|---|
Provider Enumeration Date | 07/12/2006 |
Last Update Date | 04/06/2010 |
Medicare PECOS PAC ID | 3375549108 |
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Medicare Enrollment ID | O20061018000211 |
Identifier | Type | State | Issuer |
---|---|---|---|
1528083433 | NPI | - | NPPES |
000882702 | Medicaid | DE |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
207R00000X | Internal Medicine | 1998203011 (Delaware) | Primary |
Provider Name | Jona Gorra |
---|---|
Provider Type | Practitioner - Internal Medicine |
Provider Identifiers | NPI Number: 1619900461 PECOS PAC ID: 8820094659 Enrollment ID: I20100629000352 |
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