| Mira Mace Medical Group Pa | |
|
1111b S Governors Ave Ste 39475 Dover DE 19904-6903 | |
| (332) 296-0021 | |
| Not Available |
| Full Name | Mira Mace Medical Group Pa |
|---|---|
| Speciality | Family Medicine |
| Location | 1111b S Governors Ave Ste 39475, Dover, Delaware |
| Authorized Official Name and Position | Jagadeesh Jagarlamudi (OPERATIONS ADMINISTRATOR) |
| Authorized Official Contact | 3322960021 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Mira Mace Medical Group Pa 1111b S Governors Ave Ste 39475 Dover DE 19904-6903 Ph: () - | Mira Mace Medical Group Pa 1111b S Governors Ave Ste 39475 Dover DE 19904-6903 Ph: (332) 296-0021 |
| NPI Number | 1487532289 |
|---|---|
| Provider Enumeration Date | 08/21/2025 |
| Last Update Date | 08/21/2025 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1487532289 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207R00000X | Internal Medicine | (* (Not Available)) | Secondary |
| 207Q00000X | Family Medicine | (* (Not Available)) | Primary |
Northnode Group Counseling Primary Care Clinic Medicare: Medicare Enrolled Practice Location: 1418 S State St, Dover, DE 19901 Phone: 302-257-3135 Fax: 302-526-2410 | |
State Of Delaware Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 417 Federal St, Dover, DE 19901 Phone: 302-744-4849 Fax: 302-739-6627 | |
State Of Delaware Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 417 Federal St, Dover, DE 19901 Phone: 302-744-4548 Fax: 302-739-1613 | |
State Of Delaware Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 417 Federal St, Dover, DE 19901 Phone: 302-744-4548 Fax: 302-739-1613 | |
Gi Associates Of Delaware Pa Primary Care Clinic Medicare: Medicare Enrolled Practice Location: 742 S Governors Ave, Suite 3, Dover, DE 19904 Phone: 302-678-5008 Fax: 302-678-5505 | |
Lee Dennis, M.d. Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 960 Forest St, Dover, DE 19904 Phone: 302-735-1888 | |
State Of Delaware Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 417 Federal St, Dover, DE 19901 Phone: 302-744-4548 Fax: 302-739-1613 |