| Full Life Geriatrics LLC | |
|
2313 Concord Pike Wilmington DE 19803-2911 | |
| (302) 540-8737 | |
| Not Available |
| Full Name | Full Life Geriatrics LLC |
|---|---|
| Speciality | Internal Medicine |
| Location | 2313 Concord Pike, Wilmington, Delaware |
| Authorized Official Name and Position | Maria D'souza (OWNER) |
| Authorized Official Contact | 3025408737 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Full Life Geriatrics LLC 2313 Concord Pike Wilmington DE 19803-2911 | Full Life Geriatrics LLC 2313 Concord Pike Wilmington DE 19803-2911 Ph: (302) 540-8737 |
| NPI Number | 1942167119 |
|---|---|
| Provider Enumeration Date | 01/08/2026 |
| Last Update Date | 01/08/2026 |
| Certification Date | 01/08/2026 |
| Medicare PECOS PAC ID | 2668959230 |
|---|---|
| Medicare Enrollment ID | O20260126001142 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1942167119 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207RG0300X | Internal Medicine - Geriatric Medicine | () | Primary |
| Provider Name | Maria F D'souza |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1144337486 PECOS PAC ID: 0446310874 Enrollment ID: I20180514001850 |
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