Organization
RECEPTIVE INC.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
ANDREW BORG COSTANZI (CEO)
(775) 232-9240
Entity
Organization
Contact information
Practice address
2810 N CHURCH ST, PMB 79505, WILMINGTON, DE 19802-4447
(760) 284-5368
Mailing address
2810 N CHURCH ST, PMB 79505, WILMINGTON, DE 19802-4447
(760) 284-5368
Taxonomy
Speciality
Code
Description
License number
State
261QM1300X
Multi-Specialty Clinic/Center
Primary
—
—
Other
Enumeration date
04/24/2023
Last updated
06/28/2024
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