First State Medical Associates | |
2055 Limestone Rd Ste 111 Wilmington DE 19808-5536 | |
(302) 565-4616 | |
(302) 565-4617 |
Full Name | First State Medical Associates |
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Speciality | Internal Medicine |
Location | 2055 Limestone Rd, Wilmington, Delaware |
Authorized Official Name and Position | Jose Marciano Castro (PRESIDENT) |
Authorized Official Contact | 3029998169 |
Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
Mailing Address | Practice Location Address |
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First State Medical Associates Po Box 1137 Hockessin DE 19707-5137 Ph: (302) 565-4616 | First State Medical Associates 2055 Limestone Rd Ste 111 Wilmington DE 19808-5536 Ph: (302) 565-4616 |
NPI Number | 1699806257 |
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Provider Enumeration Date | 03/07/2007 |
Last Update Date | 03/07/2018 |
Medicare PECOS PAC ID | 4284733221 |
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Medicare Enrollment ID | O20070615000506 |
Identifier | Type | State | Issuer |
---|---|---|---|
1699806257 | NPI | - | NPPES |
1699806257 | Medicaid | DE |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
207R00000X | Internal Medicine | C10006064 (Delaware) | Primary |
Provider Name | Jose Castro |
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Provider Type | Practitioner - Internal Medicine |
Provider Identifiers | NPI Number: 1083792352 PECOS PAC ID: 4981642808 Enrollment ID: I20050421000389 |
Provider Name | Marcia Gina C Castro |
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Provider Type | Practitioner - Internal Medicine |
Provider Identifiers | NPI Number: 1407934789 PECOS PAC ID: 1658313937 Enrollment ID: I20050526000296 |
Provider Name | Franklin O Ampadu |
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Provider Type | Practitioner - Internal Medicine |
Provider Identifiers | NPI Number: 1245236843 PECOS PAC ID: 2466551403 Enrollment ID: I20080605000798 |
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