| 302 Body Shop | |
|
4601 South Dupont Highway St 1 Dover DE 19901 | |
| (302) 698-1100 | |
| Not Available |
| Full Name | 302 Body Shop |
|---|---|
| Speciality | Clinic/center |
| Location | 4601 South Dupont Highway, Dover, Delaware |
| Authorized Official Name and Position | Ronnie Diem (OWNER) |
| Authorized Official Contact | 3023319026 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| 302 Body Shop 4601 South Dupont Highway St 1 Dover DE 19901 Ph: (302) 698-1100 | 302 Body Shop 4601 South Dupont Highway St 1 Dover DE 19901 Ph: (302) 698-1100 |
| NPI Number | 1790468353 |
|---|---|
| Provider Enumeration Date | 08/10/2023 |
| Last Update Date | 08/10/2023 |
| Certification Date | 08/10/2023 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1790468353 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261Q00000X | Clinic/center | () | Primary |
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