Organization
DOVER PODIATRY GROUP, P.A.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. EDWARD J HYNES D.P.M. (OWNER/PRESIDENT)
(302) 734-7474
Entity
Organization
Contact information
Practice address
1418 S STATE ST, DOVER, DE 19901-4948
(302) 734-7474
(302) 674-4170
Mailing address
1418 S STATE ST, DOVER, DE 19901-4948
(302) 734-7474
(302) 674-4170
Taxonomy
Speciality
Code
Description
License number
State
213E00000X
Podiatrist
Primary
E1-0000062
DE
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
0000148450
—
DE
01
—
0449063000
AMERIHEALTH
DE
Enumeration date
05/24/2006
Last updated
10/25/2007
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