Full Name | |
---|---|
Speciality | Clinic/center - Student Health |
Location | 629 Buckson Dr, Dover, Delaware |
Authorized Official Name and Position | Forrest Watson (CEO) |
Authorized Official Contact | 3025523574 |
Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
Mailing Address | Practice Location Address |
---|---|
812 Philadelphia Pike Ste F Wilmington DE 19809-2371 Ph: (302) 407-5316 | 629 Buckson Dr Dover DE 19901-2503 Ph: (302) 407-5316 |
NPI Number | 1609590538 |
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Provider Enumeration Date | 10/04/2022 |
Last Update Date | 03/28/2024 |
Identifier | Type | State | Issuer |
---|---|---|---|
1609590538 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
261QS1000X | Clinic/center - Student Health | (* (Not Available)) | Primary |
Lee Dennis, M.d. Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 960 Forest St, Dover, DE 19904 Phone: 302-735-1888 | |