| Glasgow Internal Medicine Associates Pa | |
|
2600 Glasgow Ave Suite 126 Newark DE 19702-4773 | |
| (302) 836-0100 | |
| (302) 836-5244 |
| Full Name | Glasgow Internal Medicine Associates Pa |
|---|---|
| Speciality | Internal Medicine |
| Location | 2600 Glasgow Ave, Newark, Delaware |
| Authorized Official Name and Position | Curt Daniel Blacklock (PRESIDENT) |
| Authorized Official Contact | 3028360100 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Glasgow Internal Medicine Associates Pa 2600 Glasgow Ave Suite 126 Newark DE 19702-4773 Ph: (302) 836-0100 | Glasgow Internal Medicine Associates Pa 2600 Glasgow Ave Suite 126 Newark DE 19702-4773 Ph: (302) 836-0100 |
| NPI Number | 1063692648 |
|---|---|
| Provider Enumeration Date | 11/12/2007 |
| Last Update Date | 03/07/2023 |
| Medicare PECOS PAC ID | 9335226059 |
|---|---|
| Medicare Enrollment ID | O20080404000741 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1063692648 | NPI | - | NPPES |
| D00167 | Other | DE | DCS |
| 239903 | Medicaid | DE |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207R00000X | Internal Medicine | C20003134 (Delaware) | Primary |
| Provider Name | Curt D Blacklock |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1467465450 PECOS PAC ID: 0244338952 Enrollment ID: I20070604000614 |
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