Organization
DELAWARE MEDICAL GROUP, LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
STUART FELZER (PRESIDENT)
(302) 633-1442
Entity
Organization
Contact information
Practice address
4512 KIRKWOOD HWY STE 205, WILMINGTON, DE 19808-5123
(302) 660-7302
(302) 995-5426
Mailing address
4512 KIRKWOOD HWY STE 205, WILMINGTON, DE 19808-5123
(302) 660-7302
(302) 995-5426
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
—
—
207R00000X
Internal Medicine Physician
Primary
—
—
363LF0000X
Family Nurse Practitioner
—
DE
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
0001195402
—
DE
Enumeration date
06/03/2006
Last updated
10/08/2024
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