| Henrietta Johnson Medical Center | |
|
1100 S Broom St Wilmington DE 19805-4585 | |
| (302) 655-6187 | |
| Not Available |
| Full Name | Henrietta Johnson Medical Center |
|---|---|
| Speciality | Clinic/center - Primary Care |
| Location | 1100 S Broom St, Wilmington, Delaware |
| Authorized Official Name and Position | Ephraim Kaba (CHIEF EXECUTIVE OFFICER) |
| Authorized Official Contact | 3026556187 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Henrietta Johnson Medical Center 601 New Castle Ave Wilmington DE 19801-5821 Ph: (302) 655-6187 | Henrietta Johnson Medical Center 1100 S Broom St Wilmington DE 19805-4585 Ph: (302) 655-6187 |
| NPI Number | 1861925042 |
|---|---|
| Provider Enumeration Date | 04/05/2017 |
| Last Update Date | 04/05/2017 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1861925042 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261QP2300X | Clinic/center - Primary Care | (* (Not Available)) | Primary |
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