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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

NPI Number 1376581363
LBN Legal business name DELAWARE MEDICAL GROUP, LLC
Authorized official STUART FELZER - (PRESIDENT)
Entity Organization
Organization subpart 1 No
Enumeration date 06/03/2006
Last updated 10/08/2024 - More than a year ago
Identifiers
DE Medicaid 0001195402
1 Some organization health care providers are made up of components that furnish different types of health care or have separate physical locations where health care is furnished. These components and physical locations are not themselves legal entities, but are part of the organization health care provider (which is a legal entity). A covered organization provider may decide that its subparts (if it has any) should have their own NPI numbers. If a subpart conducts any HIPAA standard transactions on its own (e.g., separately from its parent), it must obtain its own NPI number.

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