| Marita Fallorina Llc Fallorina Marita M Single Member | |
|
1 Catherine St Ste 1 New Castle DE 19720-3001 | |
| (302) 322-6847 | |
| (302) 322-6909 |
| Full Name | Marita Fallorina Llc Fallorina Marita M Single Member |
|---|---|
| Speciality | Family Medicine |
| Location | 1 Catherine St, New Castle, Delaware |
| Authorized Official Name and Position | Marita Mapua Fallorina (PHYSICIAN) |
| Authorized Official Contact | 3023226847 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Marita Fallorina Llc Fallorina Marita M Single Member 1 Catherine St Ste 1 New Castle DE 19720-3001 Ph: (302) 322-6847 | Marita Fallorina Llc Fallorina Marita M Single Member 1 Catherine St Ste 1 New Castle DE 19720-3001 Ph: (302) 322-6847 |
| NPI Number | 1053417642 |
|---|---|
| Provider Enumeration Date | 09/15/2006 |
| Last Update Date | 12/23/2010 |
| Medicare PECOS PAC ID | 7719164656 |
|---|---|
| Medicare Enrollment ID | O20110602000242 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1053417642 | NPI | - | NPPES |
| 48401 | Medicaid | DE |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207Q00000X | Family Medicine | C10000755 (Delaware) | Primary |
| 208000000X | Pediatrics | C10000755 (Delaware) | Secondary |
| Provider Name | Marita Fallorina |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1417918897 PECOS PAC ID: 7517144462 Enrollment ID: I20110602000307 |
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