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RHEUMATOLOGY AND FIBROMYALGIA CENTER OF EXCELLENCE NPI 1225749708


NPI Information

NPI: 1225749708
Provider Name: RHEUMATOLOGY AND FIBROMYALGIA CENTER OF EXCELLENCE
Classification: Nurse Practitioner - 363LG0600X
Entity Type: Organization

Specialization: Gerontology

CLIA Number: 08D2280413

Address:
29 E MAIN ST
MIDDLETOWN, DE
ZIP 19709
Phone: (302) 757-0697
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RHEUMATOLOGY AND FIBROMYALGIA CENTER OF EXCELLENCE is a gerontology nurse practitioner in Middletown, DE. RHEUMATOLOGY AND FIBROMYALGIA CENTER OF EXCELLENCE NPI is 1225749708. The provider is registered as an organization entity type and is a multi-specialty group.

The provider's business location address is:

29 E MAIN ST
MIDDLETOWN, DE
ZIP 19709-494
Phone: (302) 757-0697

The provider's authorized official is Jay W Lynch .
The authorized official title is Practice Admonistrator and has the following contact phone number (302) 513-0550.

The CLIA number assigned to this NPI record is 08D2280413 - physician office with a certificate type of Certificate of Waiver.

The enumeration date for this NPI number is 12/6/2022 and was last updated on 4/20/2024.


Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No. Taxonomy Code Taxonomy Clasification Taxonomy Specialization License Number License State Primary
1363LG0600XNurse PractitionerGerontologyYes

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 5/5/2024

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