Organization · NPI-2

Antidote Health Ai Of De PA

Family Medicine · Dover, DE

NPI number1619694262
StatusActive
Last updated in NPPESOct 25, 2022

Details

NPI
1619694262
Entity type
Organization (NPI-2)
Legal business name
Antidote Health Ai Of De PA
Organization subpart
No
Enumeration date
Oct 25, 2022
Certification date
Oct 25, 2022
Last updated
Oct 25, 2022

Taxonomy and licenses

Taxonomy codeDescriptionLicenseStatePrimary
207Q00000X Family Medicine––Yes

Practice location

850 New Burton Rd Ste 201
Dover, DE 19904-5786

Phone 866-256-2134

Mailing address

1460 Broadway
New York, NY 10036-7329

Phone 866-256-2134

Authorized official

Rachel Mcdowell
Owner/Director
8662562134

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