| Sussex Medical Center, Inc | |
|
401 Concord Rd Blades DE 19973-4274 | |
| (302) 629-6664 | |
| Not Available |
| Full Name | Sussex Medical Center, Inc |
|---|---|
| Speciality | Family Medicine |
| Location | 401 Concord Rd, Blades, Delaware |
| Authorized Official Name and Position | Paul Aguillon (OWNER/MANAGING PHYSICIAN) |
| Authorized Official Contact | 3026296664 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Sussex Medical Center, Inc 401 Concord Rd Blades DE 19973-4274 Ph: (302) 629-6664 | Sussex Medical Center, Inc 401 Concord Rd Blades DE 19973-4274 Ph: (302) 629-6664 |
| NPI Number | 1568008423 |
|---|---|
| Provider Enumeration Date | 11/25/2019 |
| Last Update Date | 04/16/2020 |
| Medicare PECOS PAC ID | 4981034634 |
|---|---|
| Medicare Enrollment ID | O20200420002153 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1568008423 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207Q00000X | Family Medicine | (* (Not Available)) | Primary |
| Provider Name | Paul A Aguillon |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1275813552 PECOS PAC ID: 9335468214 Enrollment ID: I20150427000631 |
| Provider Name | Matthew W Taylor |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1942856299 PECOS PAC ID: 6103254669 Enrollment ID: I20200316001232 |
H. Paul Aguillon, M.d. Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 401 Concord Rd, Blades, DE 19973 Phone: 302-629-6664 Fax: 302-629-6134 |