| Comprehensive Neurology Center Of Delaware | |
|
1423 Capitol Trl Ste 1114 Newark DE 19711-5709 | |
| (302) 996-9010 | |
| (302) 996-9027 |
| Full Name | Comprehensive Neurology Center Of Delaware |
|---|---|
| Speciality | Psychiatry & Neurology - Neurology With Special Qualifications In Child Neurology |
| Location | 1423 Capitol Trl Ste 1114, Newark, Delaware |
| Authorized Official Name and Position | Carl R Yacoub (DIRECTOR) |
| Authorized Official Contact | 3029965457 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Comprehensive Neurology Center Of Delaware 1423 Capitol Trl Ste 1114 Newark DE 19711-5709 Ph: (302) 996-9010 | Comprehensive Neurology Center Of Delaware 1423 Capitol Trl Ste 1114 Newark DE 19711-5709 Ph: (302) 996-9010 |
| NPI Number | 1639375009 |
|---|---|
| Provider Enumeration Date | 06/22/2007 |
| Last Update Date | 09/05/2023 |
| Certification Date | 09/05/2023 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1639375009 | NPI | - | NPPES |
| 0001164401 | Medicaid | DE |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 2084N0402X | Psychiatry & Neurology - Neurology With Special Qualifications In Child Neurology | C1-0004626 (Delaware) | Primary |
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