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Contact Information

DELAWARE SPORTS MEDICINE, LLC
3920 DUPONT PKWY STE B
TOWNSEND, DE19734-9000
 Phone: 302-792-7222
 Fax:
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Sports Medicine

207RS0010X 11 Physician/Internal Medicine
Indicates primary specialty

NPI Profile & details for DELAWARE SPORTS MEDICINE LLC · (Female)

NPI Number 1679359160
Status Active
Credentials
Entity Individual
Enumeration date 08/31/2023
Last updated 08/31/2023 - About 3 years ago
Sole proprietor 1 Not specified
Identifiers
  • DE Medicaid 200128629
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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