Ocean Reach Internal Medicine, Pa | |
32796 Ocean Reach Dr Lewes DE 19958-4662 | |
(302) 644-7472 | |
(302) 644-7462 |
Full Name | Ocean Reach Internal Medicine, Pa |
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Speciality | Internal Medicine |
Location | 32796 Ocean Reach Dr, Lewes, Delaware |
Authorized Official Name and Position | Gary Elliot Raffel (OWNER AND OPERATOR) |
Authorized Official Contact | 3022591000 |
Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
Mailing Address | Practice Location Address |
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Ocean Reach Internal Medicine, Pa 32796 Ocean Reach Dr Lewes DE 19958-4662 Ph: (302) 644-7472 | Ocean Reach Internal Medicine, Pa 32796 Ocean Reach Dr Lewes DE 19958-4662 Ph: (302) 644-7472 |
NPI Number | 1952817660 |
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Provider Enumeration Date | 12/18/2017 |
Last Update Date | 12/18/2017 |
Medicare PECOS PAC ID | 7416217922 |
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Medicare Enrollment ID | O20180201000592 |
Identifier | Type | State | Issuer |
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1952817660 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
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207R00000X | Internal Medicine | C2-0011017 (Delaware) | Primary |
Provider Name | Gary E Raffel |
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Provider Type | Practitioner - Internal Medicine |
Provider Identifiers | NPI Number: 1396747432 PECOS PAC ID: 7315047883 Enrollment ID: I20150126001755 |
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