Individual
JOSEFINA LUISA CANCINO
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MD
Contact information
Practice address
114 SANDHILL DR, STE 101, MIDDLETOWN, DE 19709-5805
(302) 378-4779
(302) 378-4789
Mailing address
114 SANDHILL DR, STE 101, MIDDLETOWN, DE 19709-5805
(302) 378-4779
(302) 378-4789
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
G0005169
DE
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
1000016022
DPCI
DE
01
—
2119993
ALLIANCE, OPTCHOICE, MAMS
DE
01
—
2284181000
AMERIHEALTH
DE
01
—
260067159
COVENTRY
DE
01
—
7291525
AETNA
DE
01
—
E92293
BCBS DE
DE
01
—
P00101290
RAILROAD MEDICARE
DE
Enumeration date
10/23/2006
Last updated
05/21/2021
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