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NPI Code Detail

MEDICARE: NEXT CENTURY MEDICAL CARE LLC

MEDICARE: NEXT CENTURY MEDICAL CARE LLC
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
1207K00000XAllergy & Immunology Physician
2363LP2300XPrimary Care Nurse Practitioner

General Provider Information

NPI Number : 1275040883
Entity Type Code : Organization
Provider Name (Legal Business Name) : NEXT CENTURY MEDICAL CARE LLC
Provider Business Mailing Address
First Line : 1400 PHILADELPHIA PIKE STE A4
Second Line :
City : WILMINGTON
State : DE
Zip : 19809-1856
Country : US
Telephone Number : 302-375-6746
Fax Number : 302-375-6822
Provider Business Practice Location Address
First Line : 1400 PHILADELPHIA PIKE STE A4
Second Line :
City : WILMINGTON
State : DE
Zip : 19809-1856
Country : US
Telephone Number : 610-283-2310
Fax Number :
Authorized Official
Title or Position : OWNER
Name : VERONICA FARMER WILBUR
Credential :
Telephone Number : 302-375-6746
Provider Enumeration Date : 01/04/2018
Last Update Date : 05/06/2019

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Directions to “NEXT CENTURY MEDICAL CARE LLC ” Practice Location

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