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Selbyville Internal Medicine Llc
Specialist in Selbyville, Delaware
NPI 1790967198

Selbyville Internal Medicine Llc is a Specialist based in Selbyville, DE. Selbyville Internal Medicine Llc practices in Selbyville, DE. The NPI Number for Selbyville Internal Medicine Llc is 1790967198 and holds a License No. C10005626 (Delaware).

The current practice location address for Selbyville Internal Medicine Llc is 18 Mason Dixon Shopping Ctr, Selbyville, DE and can be reached out via phone at 302-436-6394 and via fax at 302-436-6398.

Location: 18 Mason Dixon Shopping Ctr, Selbyville, DE, 19975-9641
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
institution
Provider Profile Details
NPI Number
1790967198
Provider Name
Selbyville Internal Medicine Llc
Credential
Provider Entity Type
Organization
Address
18 Mason Dixon Shopping Ctr, Selbyville, DE, 19975-9641
Phone Number
302-436-6394
Fax Number
302-436-6398
Provider Enumeration Date
11/28/2007
Last Update Date
03/09/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
C10005626 01 DE DE STATE LICENSE
institution
Provider Business Practice Location Address Details
Address
18 Mason Dixon Shopping Ctr
City
Selbyville
State
Delaware
Zip
19975-9641
Phone Number
302-436-6394
Fax Number
302-436-6398
person
Provider Business Mailing Address Details
Address
18 Mason Dixon Shopping Ctr
City
Selbyville
State
Delaware
Zip
19975-9641
Phone Number
302-436-6394
Fax Number
302-436-6398
person
Provider's Taxonomy Details 1
Type
Other Service Providers
Classification
Specialist
Speciality
-
Taxonomy
174400000X
License No.
C10005626 (Delaware)
Definition
An individual educated and trained in an applied knowledge discipline used in the performance of work at a level requiring knowledge and skills beyond or apart from that provided by a general education or liberal arts degree.
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