Facts
- Status
- A
- Type
- Organization
- Enumeration date
- 2024-08-22
- Last updated
- 2024-08-22
Licenses
The registry row did not include a license.
Location
- Practice location
- 870 S GOVERNORS AVE
- City
- DOVER DE
- Postal code
- 199044108
- Phone
- 302-257-8227
Organization contact
- Name
- MOSES ANYAEGBU
- Title
- DIRECTOR
- Phone
- 3022578227
Medicare
- PECOS
- No PECOS enrollment row matched this NPI.
LEIE
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Nearby
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Removal request
Public data from NPPES and CMS. Not a credentialing determination.