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Organization

PREMIER MEDICAL ASSOCIATES

Active
Parent organization
PREMIER MEDICAL ASSOCIATES
Organization subpart
Yes

Provider details

NPI number
Legal business name
PREMIER MEDICAL ASSOCIATES
Authorized official
ROCHELLE THAWLEY (CREDENTIALING SPECIALIST)
(302) 449-9314
Entity
Organization

Contact information

Practice address
700 W LEA BLVD STE 301, WILMINGTON, DE 19802-2546
(302) 764-2072
(302) 764-9347
Mailing address
620 STANTON CHRISTIANA RD, NEWARK, DE 19713-2133
(302) 449-7484
(302) 327-4203

Taxonomy

Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
Primary

Other

Enumeration date
09/09/2022
Last updated
11/28/2022
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