Marita M Fallorina Md | |
1 Catherine St Ste 1 New Castle DE 19720-3001 | |
(302) 322-6847 | |
(302) 322-6909 |
Full Name | Marita M Fallorina Md |
---|---|
Speciality | Family Medicine |
Location | 1 Catherine St, New Castle, Delaware |
Authorized Official Name and Position | Marita Mapua Fallorina (PHYSICIAN) |
Authorized Official Contact | 3023226847 |
Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
Mailing Address | Practice Location Address |
---|---|
Marita M Fallorina Md 1 Catherine St Ste 1 New Castle DE 19720-3001 Ph: (302) 322-6847 | Marita M Fallorina Md 1 Catherine St Ste 1 New Castle DE 19720-3001 Ph: (302) 322-6847 |
NPI Number | 1053417642 |
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Provider Enumeration Date | 09/15/2006 |
Last Update Date | 12/23/2010 |
Medicare PECOS PAC ID | 7719164656 |
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Medicare Enrollment ID | O20110602000242 |
Identifier | Type | State | Issuer |
---|---|---|---|
1053417642 | NPI | - | NPPES |
48401 | Medicaid | DE |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
207Q00000X | Family Medicine | C10000755 (Delaware) | Primary |
208000000X | Pediatrics | C10000755 (Delaware) | Secondary |
Provider Name | Marita Fallorina |
---|---|
Provider Type | Practitioner - Family Practice |
Provider Identifiers | NPI Number: 1417918897 PECOS PAC ID: 7517144462 Enrollment ID: I20110602000307 |
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