| |
369 Neverland Dr Middletown DE 19709-9948 | |
(302) 747-0939 | |
(410) 747-1866 |
Full Name | |
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Speciality | Psychiatry & Neurology |
Location | 369 Neverland Dr, Middletown, Delaware |
Authorized Official Name and Position | Sarah Kemunto Abugah (OWNER) |
Authorized Official Contact | 3027470939 |
Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
Mailing Address | Practice Location Address |
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369 Neverland Dr Middletown DE 19709-9948 Ph: (302) 747-0939 | 369 Neverland Dr Middletown DE 19709-9948 Ph: (302) 747-0939 |
NPI Number | 1629815030 |
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Provider Enumeration Date | 07/12/2024 |
Last Update Date | 08/02/2024 |
Certification Date | 08/02/2024 |
Medicare PECOS PAC ID | 0648702449 |
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Medicare Enrollment ID | O20241017003719 |
Identifier | Type | State | Issuer |
---|---|---|---|
1629815030 | NPI | - | NPPES |
Provider Name | Sarah K Abugah |
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Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1396457883 PECOS PAC ID: 8123485729 Enrollment ID: I20230707002547 |
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