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PENINSULA MEDICAL ASSOCIATES LLC NPI 1215135629


NPI Information

NPI: 1215135629
Provider Name: PENINSULA MEDICAL ASSOCIATES, LLC
Classification: Family Medicine - 207Q00000X
Entity Type: Organization
Address:
2300 PENNSYLVANIA AVE
SUITE 4-C
WILMINGTON, DE
ZIP 19806
Phone: (302) 777-1103
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PENINSULA MEDICAL ASSOCIATES, LLC is a family medicine in Wilmington, DE. The provider is family Medicine is the medical specialty which is concerned with the total health care of the individual and the family. It is the specialty in breadth which integrates the biological, clinical, and behavioral sciences. The scope of family medicine is not limited by age, sex, organ system, or disease entity. PENINSULA MEDICAL ASSOCIATES, LLC NPI is 1215135629. The provider is registered as an organization entity type and is a multi-specialty group.

The provider's business location address is:

2300 PENNSYLVANIA AVE
SUITE 4-C
WILMINGTON, DE
ZIP 19806-392
Phone: (302) 777-1103
Fax: (302) 777-1113

The provider's authorized official is Kamar Tayo Adeleke .
The authorized official title is President and has the following contact phone number (302) 777-1103.

The enumeration date for this NPI number is 7/6/2007 and was last updated on 8/22/2020.


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 CodeTaxonomy ClasificationTaxonomy SpecializationLicense NumberLicense StatePrimary
1207Q00000XFamily MedicineYes

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: 4/28/2024

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