Mid Delaware Internal Medicine,pa | |
31 Gooden Ave Dover DE 19904-4143 | |
(302) 674-9141 | |
(302) 674-5907 |
Full Name | Mid Delaware Internal Medicine,pa |
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Speciality | Internal Medicine |
Location | 31 Gooden Ave, Dover, Delaware |
Authorized Official Name and Position | Dorothy L Marriner (OFFICE MANAGER) |
Authorized Official Contact | 3026749141 |
Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
Mailing Address | Practice Location Address |
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Mid Delaware Internal Medicine,pa 31 Gooden Ave Dover DE 19904-4143 Ph: (302) 674-9141 | Mid Delaware Internal Medicine,pa 31 Gooden Ave Dover DE 19904-4143 Ph: (302) 674-9141 |
NPI Number | 1275672677 |
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Provider Enumeration Date | 02/05/2007 |
Last Update Date | 08/22/2020 |
Identifier | Type | State | Issuer |
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1275672677 | NPI | - | NPPES |
0001085802 | Medicaid | DE |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
207R00000X | Internal Medicine | C1-0004573 (Delaware) | 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 | |