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819 S Governors Ave Dover DE 19904-4158 | |
(302) 883-3677 | |
(302) 736-6951 |
Full Name | |
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Speciality | Clinic/center |
Location | 819 S Governors Ave, Dover, Delaware |
Authorized Official Name and Position | Cynthia Perez Mangubat (PRESIDENT) |
Authorized Official Contact | 3028833677 |
Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
Mailing Address | Practice Location Address |
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819 S Governors Ave Dover DE 19904-4158 Ph: (302) 883-3677 | 819 S Governors Ave Dover DE 19904-4158 Ph: (302) 883-3677 |
NPI Number | 1386915858 |
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Provider Enumeration Date | 01/15/2012 |
Last Update Date | 02/18/2016 |
Identifier | Type | State | Issuer |
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1386915858 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
261Q00000X | Clinic/center | (* (Not Available)) | Primary |
Lee Dennis, M.d. Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 960 Forest St, Dover, DE 19904 Phone: 302-735-1888 | |