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NPI Code Detail

MEDICARE: DR. MARISA CONTI DO

MEDICARE: DR. MARISA CONTI DO
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
1207R00000XInternal Medicine PhysicianC2-0008719DE

Medicare Identifiers

# Provider Identifier Provider Identifier Type Provider Identifier State Provider Identifier Issuer
2053568OTHERDEMEDICARE GROUP ID

Other Identifiers

# Provider Identifier Provider Identifier Type Provider Identifier State Provider Identifier Issuer
1MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program

General Provider Information

NPI Number : 1093717621
Entity Type Code : Individual
Provider Name (Legal Business Name) : DR. MARISA CONTI DO
Provider Business Mailing Address
First Line : 1515 SAVANNAH RD FL 2
Second Line :
City : LEWES
State : DE
Zip : 19958-1675
Country : US
Telephone Number : 302-645-3499
Fax Number : 302-644-4830
Provider Business Practice Location Address
First Line : 32050 LONG NECK RD
Second Line :
City : MILLSBORO
State : DE
Zip : 19966-6228
Country : US
Telephone Number : 302-645-3150
Fax Number : 833-908-2232
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 08/12/2005
Last Update Date : 09/16/2025

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