Reliance Healthcare, LLC
Family Medicine in Bear, DE. Organization (NPI-2).
NPI number1073043824
StatusActive
Last updated in NPPESJul 3, 2023
Details
- NPI
- 1073043824
- Entity type
- Organization (NPI-2)
- Legal business name
- Reliance Healthcare, LLC
- Organization subpart
- No
- Enumeration date
- Jun 14, 2017
- Certification date
- Jul 3, 2023
- Last updated
- Jul 3, 2023
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 207Q00000X | Family Medicine | D64083 | MD | Yes |
| 208000000X | Pediatrics | D64019 | MD |
Practice location
1993 Pulaski HwyBear, DE 19701-1708
Phone 302-838-3100
Mailing address
1993 Pulaski HwyBear, DE 19701-1708
Phone 302-838-3100
Other practice locations
300 E Pulaski Hwy
Elkton, MD 21921-6737
Elkton, MD 21921-6737
Phone 410-398-7984 · Fax 410-392-4527
Authorized official
Zebun Nisa
Managing Member
4439075756
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