Organization
AFFORDABLE HEALTH CARE OF DELAWARE
Active
Organization subpart
No
Provider details
NPI number
Authorized official
JOSEFINA CANCINO MD (PHYSICIAN OWNER)
(302) 653-0903
Entity
Organization
Contact information
Practice address
224 N DUPONT BLVD, SMYRNA, DE 19977-1511
(302) 653-0903
(302) 653-1708
Mailing address
224 N DUPONT BLVD, SMYRNA, DE 19977-1511
(302) 653-0903
(302) 653-1708
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
G0005169
DE
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
1000024006
DELAWARE PHYSICANS CARE
DE
05
—
1000024006
—
DE
01
—
2284181000
AMERIHEALTH
DE
01
—
250067159
ALLIANCE/OPT CHOICE/MAMSI
DE
01
—
7048597
AETNA
DE
01
—
DB3857
RAILROAD MEDICARE
DE
Enumeration date
10/23/2006
Last updated
05/06/2008
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