| Ian Myers, Md Llc | |
|
2600 Glasgow Ave Ste 218 Newark DE 19702-5704 | |
| (302) 832-7600 | |
| (302) 832-6700 |
| Full Name | Ian Myers, Md Llc |
|---|---|
| Speciality | Family Medicine |
| Location | 2600 Glasgow Ave Ste 218, Newark, Delaware |
| Authorized Official Name and Position | Ian Myers (OWNER) |
| Authorized Official Contact | 3028327600 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Ian Myers, Md Llc 2600 Glasgow Ave Ste 218 Newark DE 19702-5704 Ph: (302) 832-7600 | Ian Myers, Md Llc 2600 Glasgow Ave Ste 218 Newark DE 19702-5704 Ph: (302) 832-7600 |
| NPI Number | 1578596649 |
|---|---|
| Provider Enumeration Date | 07/09/2006 |
| Last Update Date | 01/03/2022 |
| Medicare PECOS PAC ID | 6709942311 |
|---|---|
| Medicare Enrollment ID | O20090306000119 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1578596649 | NPI | - | NPPES |
| P00070381 | Other | DE | MEDICARE RR |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207Q00000X | Family Medicine | C1-0005890 (Delaware) | Primary |
| Provider Name | Ian N Myers |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1194783019 PECOS PAC ID: 3274699889 Enrollment ID: I20090306000100 |
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