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2500 W 4th St Ste 1a Wilmington DE 19805-3367 | |
| (302) 274-0020 | |
| Not Available |
| Full Name | |
|---|---|
| Speciality | General Practice |
| Location | 2500 W 4th St Ste 1a, Wilmington, Delaware |
| Authorized Official Name and Position | Jay C Patel (DIRECTOR) |
| Authorized Official Contact | 3022740020 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
Po Box 30153 Wilmington DE 19805-7153 Ph: (302) 274-0020 | 2500 W 4th St Ste 1a Wilmington DE 19805-3367 Ph: (302) 274-0020 |
| NPI Number | 1811544174 |
|---|---|
| Provider Enumeration Date | 08/21/2019 |
| Last Update Date | 11/25/2022 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1811544174 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 208D00000X | General Practice | (* (Not Available)) | Primary |
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