| Broad Health, P.A. | |
|
16192 Coastal Hwy Lewes DE 19958-3608 | |
| (402) 650-3424 | |
| Not Available |
| Full Name | Broad Health, P.A. |
|---|---|
| Speciality | Family Medicine - Adult Medicine |
| Location | 16192 Coastal Hwy, Lewes, Delaware |
| Authorized Official Name and Position | James Staheli (OWNER) |
| Authorized Official Contact | 4026503424 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Broad Health, P.A. 154 W 16th St # 6-110 New York NY 10011-6201 Ph: (617) 513-4838 | Broad Health, P.A. 16192 Coastal Hwy Lewes DE 19958-3608 Ph: (402) 650-3424 |
| NPI Number | 1568107811 |
|---|---|
| Provider Enumeration Date | 05/02/2022 |
| Last Update Date | 03/14/2023 |
| Certification Date | 03/14/2023 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1568107811 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207QA0505X | Family Medicine - Adult Medicine | () | Primary |
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