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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.

NPI Number 1790722478
LBN Legal business name SPORTS MEDICINE OF DELAWARE, INC.
Authorized official VINCENT DISABELLA - (PRESIDENT)
Entity Organization
Organization subpart 1 No
Enumeration date 06/01/2006
Last updated 11/04/2008 - About 18 years ago
Identifiers
DE License # C2-0005338
DE Medicaid 100040718
DE Other 2803109000 AMERIHEALTH
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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