| Pecos T. Olurin Md, Pa | |
|
1403 N Rodney St Wilmington DE 19806-4218 | |
| (302) 654-4800 | |
| (302) 984-0440 |
| Full Name | Pecos T. Olurin Md, Pa |
|---|---|
| Speciality | Ophthalmology |
| Location | 1403 N Rodney St, Wilmington, Delaware |
| Authorized Official Name and Position | Temidayo A Olurin (PRESIDENT) |
| Authorized Official Contact | 3026544800 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Pecos T. Olurin Md, Pa 1403 N Rodney St Wilmington DE 19806-4218 Ph: (302) 654-4800 | Pecos T. Olurin Md, Pa 1403 N Rodney St Wilmington DE 19806-4218 Ph: (302) 654-4800 |
| NPI Number | 1518022235 |
|---|---|
| Provider Enumeration Date | 12/22/2006 |
| Last Update Date | 04/25/2008 |
| Medicare PECOS PAC ID | 1456513712 |
|---|---|
| Medicare Enrollment ID | O20120502000382 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1518022235 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207R00000X | Internal Medicine | C10005400 (Delaware) | Secondary |
| 207W00000X | Ophthalmology | C10005400 (Delaware) | Primary |
| Provider Name | Temidayo Olurin |
|---|---|
| Provider Type | Practitioner - Ophthalmology |
| Provider Identifiers | NPI Number: 1093710691 PECOS PAC ID: 1557523800 Enrollment ID: I20120502000359 |
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