Organization
PREMIERE PHYSICIANS P.A.
Active
Organization
PREMIERE PHYSICIANS P.A.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
INGRID AGARD (PRACTICE MANAGER)
(302) 366-0550
Entity
Organization
Contact information
Practice address
314 E MAIN ST, SUITE 103, NEWARK, DE 19711-7128
(302) 366-0550
(302) 366-8905
Mailing address
314 E MAIN ST, SUITE 103, NEWARK, DE 19711-7128
(302) 366-0550
(302) 366-8905
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1000024589
—
DE
Enumeration date
09/20/2006
Last updated
10/26/2012
Update your record
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