Spine Care Delaware, Llc | |
4102 Ogletown - Stanton Rd Newark DE 19713 | |
(302) 894-1900 | |
(302) 894-0264 |
Full Name | Spine Care Delaware, Llc |
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Speciality | Clinic/Center |
Location | 4102 Ogletown - Stanton Rd, Newark, Delaware |
Authorized Official Name and Position | Bonnie O'connor (ADMINISTRATOR) |
Authorized Official Contact | 3028941900 |
Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
Mailing Address | Practice Location Address |
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Spine Care Delaware, Llc 4102 Ogletown - Stanton Rd Newark DE 19713 Ph: (302) 894-1900 | Spine Care Delaware, Llc 4102 Ogletown - Stanton Rd Newark DE 19713 Ph: (302) 894-1900 |
NPI Number | 1407836315 |
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Provider Enumeration Date | 01/18/2006 |
Last Update Date | 04/17/2018 |
Medicare PECOS PAC ID | 2567519952 |
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Medicare Enrollment ID | O20090422000570 |
Identifier | Type | State | Issuer |
---|---|---|---|
1407836315 | NPI | - | NPPES |
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