| Nicholas O Biasotto Do Pa | |
|
620 Stanton Christiana Rd Ste 205 Newark DE 19713-2133 | |
| (302) 998-1284 | |
| (302) 998-1267 |
| Full Name | Nicholas O Biasotto Do Pa |
|---|---|
| Speciality | Family Medicine |
| Location | 620 Stanton Christiana Rd, Newark, Delaware |
| Authorized Official Name and Position | Nicholas Biasotto (OWNER) |
| Authorized Official Contact | 3029981284 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Nicholas O Biasotto Do Pa 620 Stanton Christiana Rd Ste 205 Newark DE 19713-2133 Ph: (302) 998-1284 | Nicholas O Biasotto Do Pa 620 Stanton Christiana Rd Ste 205 Newark DE 19713-2133 Ph: (302) 998-1284 |
| NPI Number | 1629401435 |
|---|---|
| Provider Enumeration Date | 08/15/2013 |
| Last Update Date | 08/15/2013 |
| Medicare PECOS PAC ID | 5991947251 |
|---|---|
| Medicare Enrollment ID | O20130815000659 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1629401435 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207Q00000X | Family Medicine | C2-0002000 (Delaware) | Primary |
| Provider Name | Nicholas Biasotto |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1164458485 PECOS PAC ID: 4789726381 Enrollment ID: I20100120000461 |
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