Organization
PROVIDER PASSPORT INC.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
HARMAN DHAWAN (PRESIDENT)
(917) 456-9261
Entity
Organization
Contact information
Practice address
16192 COASTAL HWY, LEWES, DE 19958-3608
(917) 456-9261
Mailing address
16192 COASTAL HWY, LEWES, DE 19958-3608
(917) 456-9261
Taxonomy
Speciality
Code
Description
License number
State
302R00000X
Health Maintenance Organization
Primary
—
—
Other
Enumeration date
06/17/2024
Last updated
06/17/2024
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