| Peninsula Medical Group, LLC | |
|
2300 Pennsylvania Ave Suite 4c Wilmington DE 19806-1392 | |
| (302) 777-7901 | |
| (302) 777-7906 |
| Full Name | Peninsula Medical Group, LLC |
|---|---|
| Speciality | Family Medicine |
| Location | 2300 Pennsylvania Ave, Wilmington, Delaware |
| Authorized Official Name and Position | Kamar T Adeleke (PRESIDENT) |
| Authorized Official Contact | 3027771103 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Peninsula Medical Group, LLC 2300 Pennsylvania Ave Suite 4c Wilmington DE 19806-1392 Ph: (302) 777-7901 | Peninsula Medical Group, LLC 2300 Pennsylvania Ave Suite 4c Wilmington DE 19806-1392 Ph: (302) 777-7901 |
| NPI Number | 1538365770 |
|---|---|
| Provider Enumeration Date | 06/25/2007 |
| Last Update Date | 08/22/2020 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1538365770 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207Q00000X | Family Medicine | () | Primary |
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