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Affordable Health Care of Delaware

Organization Active NPI Family Medicine Physician · Smyrna, DE

NPI 1033292016 · NPPES record last updated May 6, 2008

Key facts

NPI
1033292016
Entity type
Organization (NPI type 2)
Primary specialty
Family Medicine Physician 207Q00000X
License
G0005169 (DE)
Legal business name
AFFORDABLE HEALTH CARE OF DELAWARE
Practice address
224 N Dupont Blvd
Smyrna, DE 19977-1511
Phone
(302) 653-0903
Fax
(302) 653-1708
NPI assigned
Oct 23, 2006
Organization subpart
No

Authorized official

Name
Josefina Cancino, MD
Title
Physician Owner
Phone
(302) 653-0903

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

National Provider Directory

Locations

222 N DuPont Blvd
Smyrna, DE 19977
Phone (302) 653-0903

Specialties & licenses

Specialty (taxonomy)CodeLicenseStatePrimary
Family Medicine Physician
Group: 193400000X SINGLE SPECIALTY GROUP		 207Q00000X G0005169 DE Yes

Addresses

Primary practice location

224 N Dupont Blvd
Smyrna, DE 19977-1511

Mailing address

224 N Dupont Blvd
Smyrna, DE 19977-1511
Phone (302) 653-0903

Other identifiers

IdentifierTypeStateIssuer
250067159OtherDEALLIANCE/OPT CHOICE/MAMSI
DB3857OtherDERAILROAD MEDICARE
1000024006OtherDEDELAWARE PHYSICANS CARE
1000024006MedicaidDE
7048597OtherDEAETNA
2284181000OtherDEAMERIHEALTH

Other providers in Smyrna, DE

All providers in Smyrna, DE · Family Medicine Physician in Delaware

Sources for this page

Verify at the official NPI Registry.