| Infectious Disease Consultants Pa | |
|
537 Stanton Christiana Rd Suite 201 Newark DE 19713-2146 | |
| (302) 994-9692 | |
| (302) 994-9803 |
| Full Name | Infectious Disease Consultants Pa |
|---|---|
| Speciality | Internal Medicine |
| Location | 537 Stanton Christiana Rd, Newark, Delaware |
| Authorized Official Name and Position | Marshall T Williams (PRESIDENT) |
| Authorized Official Contact | 3029949692 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Infectious Disease Consultants Pa 537 Stanton Christiana Rd Suite 201 Newark DE 19713-2146 Ph: (302) 994-9692 | Infectious Disease Consultants Pa 537 Stanton Christiana Rd Suite 201 Newark DE 19713-2146 Ph: (302) 994-9692 |
| NPI Number | 1801905849 |
|---|---|
| Provider Enumeration Date | 08/30/2006 |
| Last Update Date | 01/31/2008 |
| Medicare PECOS PAC ID | 4183615081 |
|---|---|
| Medicare Enrollment ID | O20040519001661 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1801905849 | NPI | - | NPPES |
| CI7289 | Other | DE | RAILROAD MEDICARE |
| 0000076502 | Medicaid | DE |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207RI0200X | Internal Medicine - Infectious Disease | (* (Not Available)) | Primary |
| Provider Name | Wesley W Emmons |
|---|---|
| Provider Type | Practitioner - Infectious Disease |
| Provider Identifiers | NPI Number: 1770692782 PECOS PAC ID: 6305837220 Enrollment ID: I20040520000123 |
| Provider Name | Maya Gupta |
|---|---|
| Provider Type | Practitioner - Infectious Disease |
| Provider Identifiers | NPI Number: 1811011646 PECOS PAC ID: 1052404878 Enrollment ID: I20070910000449 |
| Provider Name | James S Ley |
|---|---|
| Provider Type | Practitioner - Infectious Disease |
| Provider Identifiers | NPI Number: 1376652396 PECOS PAC ID: 2062692411 Enrollment ID: I20110202000580 |
| Provider Name | Chad Duffalo |
|---|---|
| Provider Type | Practitioner - Infectious Disease |
| Provider Identifiers | NPI Number: 1639339484 PECOS PAC ID: 8325115041 Enrollment ID: I20131230000028 |
| Provider Name | Tresa Reena Mascarenhas |
|---|---|
| Provider Type | Practitioner - Infectious Disease |
| Provider Identifiers | NPI Number: 1477846079 PECOS PAC ID: 0143468736 Enrollment ID: I20150122002574 |
| Provider Name | Renaldo O'neal Neeley |
|---|---|
| Provider Type | Practitioner - Infectious Disease |
| Provider Identifiers | NPI Number: 1962897587 PECOS PAC ID: 7214273622 Enrollment ID: I20231012002931 |
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