Seaford Internal Medicine Llc | |
1501 Middleford Rd Seaford DE 19973-3615 | |
(302) 629-4569 | |
(302) 628-4669 |
Full Name | Seaford Internal Medicine Llc |
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Speciality | Internal Medicine |
Location | 1501 Middleford Rd, Seaford, Delaware |
Authorized Official Name and Position | Jona Gorra (PHYSICIAN) |
Authorized Official Contact | 3028550915 |
Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
Mailing Address | Practice Location Address |
---|---|
Seaford Internal Medicine Llc 10 W Laurel St Georgetown DE 19947 Ph: (302) 855-0915 | Seaford Internal Medicine Llc 1501 Middleford Rd Seaford DE 19973-3615 Ph: (302) 629-4569 |
NPI Number | 1518016831 |
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Provider Enumeration Date | 01/09/2007 |
Last Update Date | 04/02/2018 |
Medicare PECOS PAC ID | 5597843763 |
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Medicare Enrollment ID | O20080429000379 |
Identifier | Type | State | Issuer |
---|---|---|---|
1518016831 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
207R00000X | Internal Medicine | C10005098 (Delaware) | Primary |
Provider Name | Jona Gorra |
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Provider Type | Practitioner - Internal Medicine |
Provider Identifiers | NPI Number: 1619900461 PECOS PAC ID: 8820094659 Enrollment ID: I20100629000352 |
Provider Name | Mark Ang Evangelista |
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Provider Type | Practitioner - Internal Medicine |
Provider Identifiers | NPI Number: 1700036241 PECOS PAC ID: 3375676497 Enrollment ID: I20100727000021 |
Provider Name | Annedreea Webber |
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Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1295046886 PECOS PAC ID: 7214124395 Enrollment ID: I20101215000706 |
Provider Name | Ronald Luna |
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Provider Type | Practitioner - Internal Medicine |
Provider Identifiers | NPI Number: 1285982447 PECOS PAC ID: 3577876408 Enrollment ID: I20150721001012 |
Provider Name | Edda E Didonato |
---|---|
Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1306253281 PECOS PAC ID: 5698077238 Enrollment ID: I20160113001987 |
Provider Name | Kwabena Osei-bonsu |
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Provider Type | Practitioner - Internal Medicine |
Provider Identifiers | NPI Number: 1366964306 PECOS PAC ID: 0345510145 Enrollment ID: I20210513001064 |
Provider Name | Yeswanth Attoti |
---|---|
Provider Type | Practitioner - Internal Medicine |
Provider Identifiers | NPI Number: 1972095198 PECOS PAC ID: 4486056199 Enrollment ID: I20210716001266 |
Provider Name | Nancy Smith |
---|---|
Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1639452121 PECOS PAC ID: 0749414597 Enrollment ID: I20240105001900 |
Jiloca Dejesus Jiloca Mdpa Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 105 A Front Street, Seaford, DE 19973 Phone: 302-629-4569 Fax: 302-628-4669 | |
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