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Contact Information

DELAWARE MEDICAL GROUP, LLC
4512 KIRKWOOD HWY STE 205
WILMINGTON, DE19808-5123
 Phone: 302-660-7302
 Fax: 302-995-5426
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Internal Medicine

207R00000X 11 Physician/Internal Medicine
 

Family

363LF0000X 50 Nurse Practitioner
 

Family Medicine

207Q00000X 08 Physician/Family Practice
Indicates primary specialty

NPI Profile & details for DELAWARE MEDICAL GROUP LLC · (Female)

NPI # 1376581363
Status Active
Credentials
Entity Individual
Enumeration date 06/03/2006
Last updated 10/08/2024 - More than a year ago
Sole proprietor 1 Not specified
Identifiers
  • DE Medicaid 0001195402
Hospital affiliation(s) Not Available
1 A sole proprietor/sole proprietorship is an individual, and as such, is eligible for a single NPI number. The sole proprietor must apply for the NPI number using his or her own Social Security Number (SSN), not an Employer Identification Number (EIN) even if he/she has an EIN.

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