Healthcare Provider Details

I. General information

NPI: 1275832321
Provider Name (Legal Business Name): NOWCARE DOVER LLC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 03/15/2011
Last Update Date: 02/16/2012
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

504 N DUPONT HWY
DOVER DE
19901-3961
US

IV. Provider business mailing address

15 BURNT MILL RD STE D
CHERRY HILL NJ
08003-3947
US

V. Phone/Fax

Practice location:
  • Phone: 302-677-0600
  • Fax: 302-677-0605
Mailing address:
  • Phone: 856-429-7200
  • Fax: 856-429-7280

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code2081P2900X
TaxonomyPain Medicine (Physical Medicine & Rehabilitation) Physician
License Number
License Number State
# 2
Primary TaxonomyY
Taxonomy Code111N00000X
TaxonomyChiropractor
License Number
License Number State

VIII. Authorized Official

Name: TODD BOGOS
Title or Position: DOCTOR
Credential: DC
Phone: 302-677-0600