Organization
REGIONAL MEDICAL GROUP LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
SUSAN A CASSIDY (ADMINISTRATOR)
(302) 993-7890
Entity
Organization
Contact information
Practice address
4512 KIRKWOOD HWY, STE 202, WILMINGTON, DE 19808-5123
(302) 993-7890
(302) 993-7894
Mailing address
4512 KIRKWOOD HWY STE 202, WILMINGTON, DE 19808-5122
(302) 999-0137
(302) 999-1042
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
—
—
207RC0000X
Cardiovascular Disease Physician
—
—
207UN0901X
Nuclear Cardiology Physician
—
—
Other
Enumeration date
10/24/2012
Last updated
03/15/2021
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