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Organization

KOFTOWN MEDICAL CENTER LLC

Active
Organization subpart
No

Provider details

NPI number
Authorized official
BERNARD ADDOGOH NP (NURSE PRACTITIONER)
(302) 898-9494
Entity
Organization

Contact information

Practice address
108 PATRIOT DR STE A, MIDDLETOWN, DE 19709-8803
(302) 898-9494
Mailing address
108 PATRIOT DR STE A, MIDDLETOWN, DE 19709-8803

Taxonomy

Speciality
Code
Description
License number
State
363L00000X
Nurse Practitioner
Primary
363LF0000X
Family Nurse Practitioner
Primary
363LP0808X
Psychiatric/Mental Health Nurse Practitioner
363LP2300X
Primary Care Nurse Practitioner

Other

Enumeration date
01/18/2022
Last updated
02/18/2026
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