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NPI Code Detail

MEDICARE: DR. BARBARA LIGHT DO

MEDICARE: DR. BARBARA LIGHT 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
1208000000XPediatrics PhysicianC2-0006575DE

Other Identifiers

# Provider Identifier Provider Identifier Type Provider Identifier State Provider Identifier Issuer
1180061OTHERDECOVENTRY HEALTH CARE
27010364OTHERDEAETNA USHC
3H72664OTHERDEMID ATLANTIC HEALTH CARE
41425271OTHERDEAMERIHEALTH - PPO
5MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program
61000015432OTHERDEDELAWARE PHYSICIANS CARE
71000015432OTHERDEDIAMOND STATE HEALTH CARE
8615622-02OTHERDEBC/BS MD PCP #
92110792000OTHERDEAMERIHEALTH - HMO
10262908OTHERDEMAMSI
11H72664OTHERDEBC/BS DE PCP #
122110792000OTHERDEKEYSTONE EAST HMO (SEE AM

General Provider Information

NPI Number : 1093776239
Entity Type Code : Individual
Provider Name (Legal Business Name) : DR. BARBARA LIGHT DO
Provider Business Mailing Address
First Line : 4735 OGLETOWN STANTON RD
Second Line : MAP 2 SUITE 1116
City : NEWARK
State : DE
Zip : 19713-2072
Country : US
Telephone Number : 302-368-8612
Fax Number :
Provider Business Practice Location Address
First Line : 4735 OGLETOWN STANTON RD
Second Line : MAP 2 SUITE 1116
City : NEWARK
State : DE
Zip : 19713-2072
Country : US
Telephone Number : 302-368-8612
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 03/29/2006
Last Update Date : 02/16/2012

Similar Medicare Providers

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