Wellformed AI

NPI 1043935307 · live from the CMS NPI Registry

Delaware Health Equity Coalition

Family Medicine, Adult Medicine in Wilmington, DE. National Provider Identifier 1043935307, active.

NPI record

NPI1043935307 Type 2 · organization
StatusActive
Primary specialtyFamily Medicine, Adult Medicine 207QA0505X
Practice location2100 Baynard Blvd Ste A, Wilmington, DE 19802
Practice phone302-394-6060
EnumeratedOctober 10, 2022
Last updatedJune 21, 2023
Authorized officialCydney Teal, Doctor

Taxonomies and licenses

TaxonomyCodeLicense
Counselor, Mental Health101YM0800X—
Psychologist, Intellectual & Developmental Disabilities103TM1800X—
Allergy & Immunology, Allergy207KA0200X—
Family Medicine207Q00000X—
Family Medicine, Geriatric Medicine207QG0300X—
Internal Medicine, Cardiovascular Disease207RC0000X—
Internal Medicine, Interventional Cardiology207RI0011X—
Internal Medicine, Pulmonary Disease207RP1001X—
Obstetrics & Gynecology207V00000X—
Orthopaedic Surgery207X00000X—
Otolaryngology207Y00000X—
Pediatrics, Developmental - Behavioral Pediatrics2080P0006X—
General Practice208D00000X—
Nurse Practitioner, Psych/Mental Health363LP0808X—
Family Medicine, Adult Medicine primary207QA0505X—

Source: CMS NPPES NPI Registry. NPI data is self-reported by providers; license numbers are not verified by CMS.