| Delaware Family Medicine, Llc | |
|
15 Omega Dr Bldg K Suite 3 Newark DE 19713-2057 | |
| (302) 743-1646 | |
| Not Available |
| Full Name | Delaware Family Medicine, Llc |
|---|---|
| Speciality | Family Medicine |
| Location | 15 Omega Dr Bldg K, Newark, Delaware |
| Authorized Official Name and Position | Galicano F Inguito (OWNER/PHYSICIAN) |
| Authorized Official Contact | 3024731646 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Delaware Family Medicine, Llc 15 Omega Dr Bldg K Suite 3 Newark DE 19713-2057 Ph: (302) 743-1646 | Delaware Family Medicine, Llc 15 Omega Dr Bldg K Suite 3 Newark DE 19713-2057 Ph: (302) 743-1646 |
| NPI Number | 1528339108 |
|---|---|
| Provider Enumeration Date | 01/13/2012 |
| Last Update Date | 01/13/2012 |
| Medicare PECOS PAC ID | 9638338304 |
|---|---|
| Medicare Enrollment ID | O20120315000680 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1528339108 | NPI | - | NPPES |
| 1265446934 | Medicaid | DE |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207Q00000X | Family Medicine | C10003906 (Delaware) | Primary |
| Provider Name | Galicano Fernando Inguito |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1265446934 PECOS PAC ID: 0648467985 Enrollment ID: I20101213000173 |
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