Individual
ELVA GRACE DELPORT
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MKD
Contact information
Practice address
4735 OGLETOWN-STANTON RD, SUITE 2210, NEWARK, DE 19713
(302) 623-4144
(302) 623-4147
Mailing address
4735 OGLETOWN-STANTON RD, SUITE 2210, NEWARK, DE 19713
(302) 623-4144
(302) 623-4147
Taxonomy
Speciality
Code
Description
License number
State
208100000X
Physical Medicine & Rehabilitation Physician
Primary
C10005721
DE
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
0296025000
AMERIHEALTH
DE
01
—
2114925
UNITED HEALTH CARE
DE
01
—
2207837
AETNA
DE
01
—
510110596
BCBS OF DE
DE
01
—
9132
COVENTRY
DE
Enumeration date
03/31/2006
Last updated
11/25/2009
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