Organization
SMA INTERNAL MEDICINE & ENDOCRINOLOGY LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
BLANCA N OCAMPO-LIM M D (PHYSICIAN)
(302) 653-1669
Entity
Organization
Contact information
Practice address
38 DEAK DR, SMYRNA, DE 19977-1268
(302) 653-1669
Mailing address
38 DEAK DR, SMYRNA, DE 19977-1268
(302) 653-1669
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
Primary
C1-0005633
DE
207RE0101X
Endocrinology, Diabetes & Metabolism Physician
C1-0005633
DE
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
0001050301
—
DE
01
—
G02222
MEDICARE
DE
Enumeration date
11/13/2006
Last updated
05/28/2013
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