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Contact Information

SPORTS MEDICINE OF DELAWARE, INC.
102 SLEEPY HOLLOW DR
SUITE 102
MIDDLETOWN, DE19709-8894
 Phone: 302-376-9711
 Fax: 302-376-9713
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Sports Medicine

207RS0010X 11 Physician/Internal Medicine
Indicates primary specialty

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

NPI # 1790722478
Status Active
Credentials
Entity Individual
Enumeration date 06/01/2006
Last updated 11/04/2008 - About 18 years ago
Sole proprietor 1 Not specified
Identifiers
  • DE License # C2-0005338
  • DE Medicaid 100040718
  • DE Other 2803109000 AMERIHEALTH
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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