| Internal Medicine Of Bridgeville | |
|
8991 Redden Rd Bridgeville DE 19933-4746 | |
| (302) 337-3300 | |
| (302) 337-8072 |
| Full Name | Internal Medicine Of Bridgeville |
|---|---|
| Speciality | Internal Medicine |
| Location | 8991 Redden Rd, Bridgeville, Delaware |
| Authorized Official Name and Position | Kenneth Smith (PRESIDENT) |
| Authorized Official Contact | 3023373300 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Internal Medicine Of Bridgeville 8991 Redden Rd Bridgeville DE 19933-4746 Ph: (302) 337-3300 | Internal Medicine Of Bridgeville 8991 Redden Rd Bridgeville DE 19933-4746 Ph: (302) 337-3300 |
| NPI Number | 1366591893 |
|---|---|
| Provider Enumeration Date | 01/10/2007 |
| Last Update Date | 08/22/2020 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1366591893 | NPI | - | NPPES |
| 1000027220 | Medicaid | DE |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207R00000X | Internal Medicine | (* (Not Available)) | Primary |
Tidalhealth Physician Network, Inc. Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 9111 Antique Aly Unit 1, Bridgeville, DE 19933 Phone: 302-337-9320 | |
Kenneth R Smith Md Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 8991 Redden Rd, Bridgeville, DE 19933 Phone: 302-337-3300 Fax: 302-337-8072 |