Organization
MID DELAWARE INTERNAL MEDICINE,PA
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MRS. DOROTHY L MARRINER (OFFICE MANAGER)
(302) 674-9141
Entity
Organization
Contact information
Practice address
31 GOODEN AVE, DOVER, DE 19904-4143
(302) 674-9141
(302) 674-5907
Mailing address
31 GOODEN AVE, DOVER, DE 19904-4143
(302) 674-9141
(302) 674-5907
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
Primary
C1-0004573
DE
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
0001085802
—
DE
Enumeration date
02/05/2007
Last updated
08/22/2020
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