| |
3105 Limestone Rd Suite 301 Wilmington DE 19808-2147 | |
(302) 633-1700 | |
(302) 633-4418 |
Full Name | |
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Speciality | Internal Medicine |
Location | 3105 Limestone Rd, Wilmington, Delaware |
Authorized Official Name and Position | Robert F Kopecki (PRESIDENT) |
Authorized Official Contact | 3026331700 |
Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
Mailing Address | Practice Location Address |
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3105 Limestone Rd Suite 301 Wilmington DE 19808-2147 Ph: (302) 633-1700 | 3105 Limestone Rd Suite 301 Wilmington DE 19808-2147 Ph: (302) 633-1700 |
NPI Number | 1588755771 |
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Provider Enumeration Date | 09/27/2006 |
Last Update Date | 06/26/2024 |
Medicare PECOS PAC ID | 7113914458 |
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Medicare Enrollment ID | O20040428000735 |
Identifier | Type | State | Issuer |
---|---|---|---|
1588755771 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
207R00000X | Internal Medicine | (Delaware) | Primary |
Provider Name | Robert F Kopecki |
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Provider Type | Practitioner - Internal Medicine |
Provider Identifiers | NPI Number: 1326047796 PECOS PAC ID: 2365439601 Enrollment ID: I20040428000770 |
Provider Name | Andrew P Myers |
---|---|
Provider Type | Practitioner - Internal Medicine |
Provider Identifiers | NPI Number: 1477566446 PECOS PAC ID: 5395820245 Enrollment ID: I20080317000455 |
Provider Name | Katy E Crowe |
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Provider Type | Practitioner - Family Practice |
Provider Identifiers | NPI Number: 1962662122 PECOS PAC ID: 0840355020 Enrollment ID: I20090223000516 |
Provider Name | Joseph P Conlon |
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Provider Type | Practitioner - Internal Medicine |
Provider Identifiers | NPI Number: 1790129724 PECOS PAC ID: 4880963040 Enrollment ID: I20200601000157 |
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