Southern Delaware Medical Group, Pa | |
100 Silicato Pkwy Ste 301 Milford DE 19963-1272 | |
(302) 725-2040 | |
(855) 403-0778 |
Full Name | Southern Delaware Medical Group, Pa |
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Speciality | Family Medicine |
Location | 100 Silicato Pkwy Ste 301, Milford, Delaware |
Authorized Official Name and Position | Olga Samary Gonzalez (PRACTICE MANAGER) |
Authorized Official Contact | 3027252040 |
Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
Mailing Address | Practice Location Address |
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Southern Delaware Medical Group, Pa Po Box 337 Milford DE 19963-0337 Ph: (302) 725-2040 | Southern Delaware Medical Group, Pa 100 Silicato Pkwy Ste 301 Milford DE 19963-1272 Ph: (302) 725-2040 |
NPI Number | 1386662054 |
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Provider Enumeration Date | 07/18/2006 |
Last Update Date | 09/16/2021 |
Medicare PECOS PAC ID | 5193725588 |
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Medicare Enrollment ID | O20070109000314 |
Identifier | Type | State | Issuer |
---|---|---|---|
1386662054 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
207Q00000X | Family Medicine | C20006015 (Delaware) | Primary |
Provider Name | Scott A Hammer |
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Provider Type | Practitioner - Family Practice |
Provider Identifiers | NPI Number: 1679557722 PECOS PAC ID: 8123004298 Enrollment ID: I20040629000063 |
Provider Name | Cedric T Barnes |
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Provider Type | Practitioner - Family Practice |
Provider Identifiers | NPI Number: 1851338040 PECOS PAC ID: 1951361609 Enrollment ID: I20041016000097 |
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