Healthcare Provider Details

I. General information

NPI: 1154498129
Provider Name (Legal Business Name): DELAWARE MEDICAL CARE INC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 11/28/2006
Last Update Date: 08/22/2020
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

2700 SILVERSIDE RD
WILMINGTON DE
19810-3719
US

IV. Provider business mailing address

2700 SILVERSIDE RD
WILMINGTON DE
19810-3719
US

V. Phone/Fax

Practice location:
  • Phone: 302-478-1100
  • Fax: 302-478-0294
Mailing address:
  • Phone: 302-478-1100
  • Fax: 302-478-0294

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code261QU0200X
TaxonomyUrgent Care Clinic/Center
License Number1998208987
License Number StateDE

VIII. Authorized Official

Name: ANN MARIE CARLOZZI
Title or Position: BILLING MANAGER
Credential:
Phone: 610-255-5826