MEDICARE: CLAYMONT WALK IN CARE 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
1	208D00000X	General Practice Physician
2	261QU0200X	Urgent Care Clinic/Center

General Provider Information

NPI Number	:	1871199851
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	CLAYMONT WALK IN CARE LLC

Provider Business Mailing Address
First Line	:	2400 PHILADELPHIA PIKE STE A
Second Line	:
City	:	CLAYMONT
State	:	DE
Zip	:	19703-2431
Country	:	US
Telephone Number	:	302-317-1531
Fax Number	:	302-291-4986

Provider Business Practice Location Address
First Line	:	2400 PHILADELPHIA PIKE
Second Line	:
City	:	CLAYMONT
State	:	DE
Zip	:	19703-2431
Country	:	US
Telephone Number	:	302-317-1531
Fax Number	:

Authorized Official
Title or Position	:	MEDICAL DIRECTOR
Name	:	XIN LIU
Credential	:	MD
Telephone Number	:	302-317-1531

Provider Enumeration Date	:	12/07/2020
Last Update Date	:	05/22/2025

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