Healthcare Provider Details

I. General information

NPI: 1669392882
Provider Name (Legal Business Name): ALLERA GERIATRIC SERVICES PC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 07/17/2026
Last Update Date: 07/29/2026
Certification Date: 07/29/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

630 CHURCHMANS RD STE 200
NEWARK DE
19702-1944
US

IV. Provider business mailing address

630 CHURCHMANS RD STE 200
NEWARK DE
19702-1944
US

V. Phone/Fax

Practice location:
  • Phone: 324-478-5707
  • Fax:
Mailing address:
  • Phone: 302-478-5707
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code207QG0300X
TaxonomyGeriatric Medicine (Family Medicine) Physician
License Number
License Number State
# 2
Primary TaxonomyN
Taxonomy Code207QH0002X
TaxonomyHospice and Palliative Medicine (Family Medicine) Physician
License Number
License Number State
# 3
Primary TaxonomyY
Taxonomy Code207RG0300X
TaxonomyGeriatric Medicine (Internal Medicine) Physician
License Number
License Number State
# 4
Primary TaxonomyN
Taxonomy Code207RH0002X
TaxonomyHospice and Palliative Medicine (Internal Medicine) Physician
License Number
License Number State

VIII. Authorized Official

Name: MATTHEW DEBO
Title or Position: MEDICAL DIRECTOR
Credential: DO
Phone: 302-856-7717