Unknown Individual – Family Medicine Physician, NPI 1164448189
Family Medicine Physician
Main info
Profile Insights
NPPES metrics only — not quality of care.
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Provider Addresses for Unknown Individual
Wilmington Post Office, Chestnut Street, Wilmington, New Hanover County, North Carolina, 28405, United States
WILMINGTON, DE 19804
Phone: (302) 224-5678
Fax: (302) 224-2848
Type: Mailing
18947, John J Williams Highway, Truitts Midway Development, Rehoboth Beach, Sussex County, Delaware, 19971, United States
SUITE 311
REHOBOTH BEACH, DE 199714474
Phone: (302) 645-8900
Fax: (302) 645-7159
Type: Location
NPPES updates history
No NPPES updates recorded for this provider.
Prescription Activity
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Open Payments (CMS)
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Medicare Enrollment & Revalidation
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Educational use only—not medical, billing, or legal advice.
No Medicare enrollment or revalidation data available for this provider in our database.
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Medicare Utilization (FFS)
Source: CMS public data · Not endorsed by CMS · Beneficiary counts under 11 are suppressed in source data ·
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No Medicare fee-for-service utilization data available for this provider in our database.
Insurance plans in this area (ZIP 19804)
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