NPI 1891048179 · live from the CMS NPI Registry
Regional Medical Group LLC
Family Medicine in Wilmington, DE. National Provider Identifier 1891048179, active.
NPI record
| NPI | 1891048179 Type 2 · organization |
|---|---|
| Status | Active |
| Primary specialty | Family Medicine 207Q00000X |
| Practice location | 4512 Kirkwood Hwy, Ste 202, Wilmington, DE 19808 |
| Practice phone | 302-993-7890 |
| Mailing address | 4512 Kirkwood Hwy Ste 202, Wilmington, DE 19808 |
| Enumerated | October 24, 2012 |
| Last updated | March 15, 2021 |
| Authorized official | Susan Cassidy, Administrator |
Taxonomies and licenses
| Taxonomy | Code | License |
|---|---|---|
| Internal Medicine, Cardiovascular Disease | 207RC0000X | — |
| Nuclear Medicine, Nuclear Cardiology | 207UN0901X | — |
| Family Medicine primary | 207Q00000X | — |
Source: CMS NPPES NPI Registry. NPI data is self-reported by providers; license numbers are not verified by CMS.