Organization · NPI-2
Affordable Health Care Of Delaware
Family Medicine · Smyrna, DE
NPI number1033292016
StatusActive
Last updated in NPPESMay 6, 2008
Details
- NPI
- 1033292016
- Entity type
- Organization (NPI-2)
- Legal business name
- Affordable Health Care Of Delaware
- Organization subpart
- No
- Enumeration date
- Oct 23, 2006
- Last updated
- May 6, 2008
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 207Q00000X | Family Medicine | g0005169 | DE | Yes |
Practice location
224 N Dupont BlvdSmyrna, DE 19977-1511
Phone 302-653-0903 · Fax 302-653-1708
Mailing address
224 N Dupont BlvdSmyrna, DE 19977-1511
Phone 302-653-0903 · Fax 302-653-1708
Authorized official
Josefina Cancino
Physician Owner
3026530903
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