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LAUREL MEDICAL GROUP LLC NPI 1477640696


NPI Information

NPI: 1477640696
Provider Name: LAUREL MEDICAL GROUP, LLC
Classification: Internal Medicine - 207R00000X
Entity Type: Organization

CLIA Number: 08D1017270

Address:
1124 S CENTRAL AVE
LAUREL, DE
ZIP 19956
Phone: (302) 875-7753
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LAUREL MEDICAL GROUP, LLC is an internal medicine in Laurel, DE. The provider is a physician who provides long-term, comprehensive care in the office and the hospital, managing both common and complex illness of adolescents, adults and the elderly. Internists are trained in the diagnosis and treatment of cancer, infections and diseases affecting the heart, blood, kidneys, joints and digestive, respiratory and vascular systems. They are also trained in the essentials of primary care internal medicine, which incorporates an understanding of disease prevention, wellness, substance abuse, mental health and effective treatment of common problems of the eyes, ears, skin, nervous system and reproductive organs. LAUREL MEDICAL GROUP, LLC NPI is 1477640696. The provider is registered as an organization entity type and is a multi-specialty group.

The provider's business location address is:

1124 S CENTRAL AVE
LAUREL, DE
ZIP 19956-418
Phone: (302) 875-7753

The provider's authorized official is Antonio Pedro .
The authorized official title is Co-owner and has the following contact phone number (302) 875-7753.

The CLIA number assigned to this NPI record is 08D1017270 - physician office with a certificate type of Certificate of Waiver.

The enumeration date for this NPI number is 10/9/2006 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
1207R00000XInternal MedicineC1-0005393DELAWAREYes
2207RN0300XInternal MedicineNephrologyC1-0004999DELAWAREX

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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