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Contact Information

EASTERN PHYSICAL MEDICINE AND WELLNESS CENTER, LLC
1009 MATTLIND WAY
MILFORD, DE19963-5369
 Phone: 302-535-1951
 Fax:
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Neuromuscular Medicine

2081N0008X 25 Physician/Physical Medicine and Rehabilitation
Indicates primary specialty

NPI Profile & details for EASTERN PHYSICAL MEDICINE AND WELLNESS CENTER LLC · (Female)

NPI # 1194317701
Status Active
Credentials
Entity Individual
Enumeration date 02/04/2021
Last updated 02/04/2021 - About 5 years ago
Sole proprietor 1 Not specified
Identifiers Not Available
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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