| Lifemd New England Patient Medical Care PA | |
|
1209 N Orange St Wilmington DE 19801-1120 | |
| (800) 875-1575 | |
| Not Available |
| Full Name | Lifemd New England Patient Medical Care PA |
|---|---|
| Speciality | Clinic/Center |
| Location | 1209 N Orange St, Wilmington, Delaware |
| Authorized Official Name and Position | Eric Yecies (GENERAL COUNSEL) |
| Authorized Official Contact | 6462633680 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Lifemd New England Patient Medical Care PA 236 5th Ave Ste 400 New York NY 10001-7606 Ph: (800) 852-1575 | Lifemd New England Patient Medical Care PA 1209 N Orange St Wilmington DE 19801-1120 Ph: (800) 875-1575 |
| NPI Number | 1376305847 |
|---|---|
| Provider Enumeration Date | 01/29/2024 |
| Last Update Date | 12/17/2024 |
| Certification Date | 12/17/2024 |
| Medicare PECOS PAC ID | 5395270409 |
|---|---|
| Medicare Enrollment ID | O20250813000989 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1376305847 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261QM1300X | Clinic/center - Multi-specialty | () | Primary |
| Provider Name | Mary Suzanne Ryan Biggs |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1508913237 PECOS PAC ID: 1456300474 Enrollment ID: I20150527001341 |
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