Pair Team Medical Group, P.a. | |
2035 Sunset Lake Rd Ste B2 Newark DE 19702-2600 | |
(415) 320-7541 | |
Not Available |
Full Name | Pair Team Medical Group, P.a. |
---|---|
Speciality | General Practice |
Location | 2035 Sunset Lake Rd Ste B2, Newark, Delaware |
Authorized Official Name and Position | Jake Egbert (DIRECTOR OF BUSINESS OPERATIONS) |
Authorized Official Contact | 4153207541 |
Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
Mailing Address | Practice Location Address |
---|---|
Pair Team Medical Group, P.a. 2261 Market St Ste 10011 San Francisco CA 94114-1612 Ph: () - | Pair Team Medical Group, P.a. 2035 Sunset Lake Rd Ste B2 Newark DE 19702-2600 Ph: (415) 320-7541 |
NPI Number | 1659132553 |
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Provider Enumeration Date | 01/17/2024 |
Last Update Date | 01/16/2025 |
Medicare PECOS PAC ID | 6709326358 |
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Medicare Enrollment ID | O20240910000941 |
Identifier | Type | State | Issuer |
---|---|---|---|
1659132553 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
208D00000X | General Practice | (* (Not Available)) | Primary |
Provider Name | Nathan A Favini |
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Provider Type | Practitioner - Internal Medicine |
Provider Identifiers | NPI Number: 1124381645 PECOS PAC ID: 5698078954 Enrollment ID: I20160120000487 |
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