Clinic By The Sea Llc | |
16337 Coastal Hwy Lewes DE 19958-3607 | |
(302) 644-0999 | |
(302) 644-3099 |
Full Name | Clinic By The Sea Llc |
---|---|
Speciality | Internal Medicine |
Location | 16337 Coastal Hwy, Lewes, Delaware |
Authorized Official Name and Position | Georges A Dahr (CO PRESIDENT) |
Authorized Official Contact | 3026440999 |
Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
Mailing Address | Practice Location Address |
---|---|
Clinic By The Sea Llc Po Box 323 Nassau DE 19969-0323 Ph: (302) 644-0999 | Clinic By The Sea Llc 16337 Coastal Hwy Lewes DE 19958-3607 Ph: (302) 644-0999 |
NPI Number | 1477561306 |
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Provider Enumeration Date | 08/04/2006 |
Last Update Date | 08/22/2020 |
Medicare PECOS PAC ID | 0840379608 |
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Medicare Enrollment ID | O20080505000547 |
Identifier | Type | State | Issuer |
---|---|---|---|
1477561306 | NPI | - | NPPES |
1000015445 | Medicaid | DE |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
207R00000X | Internal Medicine | C1-0005201 (Delaware) | Primary |
207RC0000X | Internal Medicine - Cardiovascular Disease | C1-0005201 (Delaware) | Primary |
Provider Name | Georges A Dahr |
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Provider Type | Practitioner - Cardiovascular Disease (cardiology) |
Provider Identifiers | NPI Number: 1720089287 PECOS PAC ID: 9335208925 Enrollment ID: I20081112000048 |
Provider Name | Ivan Pena Sing |
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Provider Type | Practitioner - Cardiovascular Disease (cardiology) |
Provider Identifiers | NPI Number: 1225021611 PECOS PAC ID: 6709861958 Enrollment ID: I20090915000676 |
Provider Name | Zeina E Jeha |
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Provider Type | Practitioner - Internal Medicine |
Provider Identifiers | NPI Number: 1669473641 PECOS PAC ID: 6709965023 Enrollment ID: I20110926000402 |
Provider Name | Ashley D Hill |
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Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1477819936 PECOS PAC ID: 2961647193 Enrollment ID: I20130318000314 |
Provider Name | Susan Rae Parks |
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Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1841683331 PECOS PAC ID: 1759694706 Enrollment ID: I20150720001934 |
Provider Name | Armin Barekatain |
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Provider Type | Practitioner - Cardiovascular Disease (cardiology) |
Provider Identifiers | NPI Number: 1982950572 PECOS PAC ID: 8325353352 Enrollment ID: I20160926000375 |
Provider Name | Joanna R Robertson |
---|---|
Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1619483427 PECOS PAC ID: 2365799566 Enrollment ID: I20180719000136 |
Provider Name | Diamond M Micielli |
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Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1184013757 PECOS PAC ID: 3870827850 Enrollment ID: I20190625002190 |
Provider Name | Sarah Faith Robinson |
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Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1821639402 PECOS PAC ID: 0648608034 Enrollment ID: I20200318001143 |
Provider Name | Michael P Sabadish |
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Provider Type | Practitioner - Cardiac Electrophysiology |
Provider Identifiers | NPI Number: 1154393072 PECOS PAC ID: 4385697374 Enrollment ID: I20210223002383 |
Provider Name | Pamela D Blondin |
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Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1467820415 PECOS PAC ID: 4981004470 Enrollment ID: I20210621003286 |
Provider Name | Praveen George |
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Provider Type | Practitioner - Interventional Cardiology |
Provider Identifiers | NPI Number: 1285052605 PECOS PAC ID: 7113225350 Enrollment ID: I20220708003727 |
Provider Name | Svetlana A Agapov |
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Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1952088668 PECOS PAC ID: 2163885294 Enrollment ID: I20230823000113 |
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