Healthcare Provider Details

I. General information

NPI: 1447058987
Provider Name (Legal Business Name): DELAWARE U.S. MOBILE CARE GROUP, LLC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 03/03/2025
Last Update Date: 03/03/2025
Certification Date: 03/03/2025
Deactivation Date:
Reactivation Date:

III. Provider practice location address

325 S DUPONT RD
NEWPORT DE
19804-1637
US

IV. Provider business mailing address

325 S DUPONT RD
NEWPORT DE
19804-1637
US

V. Phone/Fax

Practice location:
  • Phone: 347-298-4100
  • Fax:
Mailing address:
  • Phone: 347-298-4100
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code207Q00000X
TaxonomyFamily Medicine Physician
License Number
License Number State

VIII. Authorized Official

Name: CHRISTINE A LADA
Title or Position: NP
Credential: NP
Phone: 347-298-4100