| Coastal Primary Care | |
|
4601 South Dupont Highway St 1 Dover DE 19901 | |
| (302) 698-1100 | |
| Not Available |
| Full Name | Coastal Primary Care |
|---|---|
| Speciality | Family Medicine |
| Location | 4601 South Dupont Highway, Dover, Delaware |
| Authorized Official Name and Position | Ronnie Diem (OWNER) |
| Authorized Official Contact | 3023319026 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Coastal Primary Care 4601 South Dupont Highway St 1 Dover DE 19901 Ph: (302) 331-9026 | Coastal Primary Care 4601 South Dupont Highway St 1 Dover DE 19901 Ph: (302) 698-1100 |
| NPI Number | 1750064390 |
|---|---|
| Provider Enumeration Date | 08/10/2023 |
| Last Update Date | 09/05/2023 |
| Medicare PECOS PAC ID | 3274988977 |
|---|---|
| Medicare Enrollment ID | O20231016003067 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1750064390 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207Q00000X | Family Medicine | (* (Not Available)) | Primary |
| Provider Name | Harold Spangler |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1871570200 PECOS PAC ID: 5597662346 Enrollment ID: I20050628000901 |
| Provider Name | Lawrence M Lewandowski |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1134191422 PECOS PAC ID: 9739109620 Enrollment ID: I20051207000365 |
| Provider Name | Brooke Lea Zingone |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1356991368 PECOS PAC ID: 4789036419 Enrollment ID: I20240118002385 |
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State Of Delaware Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 417 Federal St, Dover, DE 19901 Phone: 302-744-4849 Fax: 302-739-6627 | |
State Of Delaware Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 417 Federal St, Dover, DE 19901 Phone: 302-744-4548 Fax: 302-739-1613 | |
State Of Delaware Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 417 Federal St, Dover, DE 19901 Phone: 302-744-4548 Fax: 302-739-1613 | |
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State Of Delaware Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 417 Federal St, Dover, DE 19901 Phone: 302-744-4548 Fax: 302-739-1613 |