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NPI Code Detail

MEDICARE: CARDIOLOGY ASSOCIATES OF DELAWARE LLC

MEDICARE: CARDIOLOGY ASSOCIATES OF DELAWARE LLC
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
1207RC0000XCardiovascular Disease Physician

General Provider Information

NPI Number : 1720147903
Entity Type Code : Organization
Provider Name (Legal Business Name) : CARDIOLOGY ASSOCIATES OF DELAWARE LLC
Provider Business Mailing Address
First Line : 2101 FOULK RD
Second Line :
City : WILMINGTON
State : DE
Zip : 19810-4710
Country : US
Telephone Number : 302-475-9626
Fax Number : 302-475-9627
Provider Business Practice Location Address
First Line : 2101 FOULK RD
Second Line :
City : WILMINGTON
State : DE
Zip : 19810-4710
Country : US
Telephone Number : 302-475-9626
Fax Number : 302-475-9627
Authorized Official
Title or Position : ACCESS MANAGER
Name : JENNIFER DESANCTIS
Credential :
Telephone Number : 302-475-2535
Provider Enumeration Date : 12/06/2006
Last Update Date : 12/04/2025

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Directions to “CARDIOLOGY ASSOCIATES OF DELAWARE LLC ” Practice Location

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