Delmarva Medical Associates,PA

Primary specialty

Primary Care Clinic/CenterTaxonomy code 261QP2300X

License

C1-0009747 Issued in DE

Legal business name

DELMARVA MEDICAL ASSOCIATES,PA

Practice address

302 Lynn Dr
Hockessin, DE 19707-9777

Phone

(302) 559-5959

NPI assigned

Nov 8, 2013

Organization subpart

No

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name

Dr. Tolulope Mathias Olasunkanmi, M.D

Title

Medical Director

Phone

(302) 559-5959

Specialties & licenses 1

Addresses

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1383868800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1383868800000",
    "number": "1659700714",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1632 SAVANNAH RD",
            "address_2": "SUITE 2",
            "city": "LEWES",
            "state": "DE",
            "postal_code": "199581659",
            "telephone_number": "302-559-5959"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "302 LYNN DR",
            "city": "HOCKESSIN",
            "state": "DE",
            "postal_code": "197079777",
            "telephone_number": "302-559-5959"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "DELMARVA MEDICAL ASSOCIATES,PA",
        "organizational_subpart": "NO",
        "enumeration_date": "2013-11-08",
        "last_updated": "2013-11-08",
        "status": "A",
        "authorized_official_last_name": "OLASUNKANMI",
        "authorized_official_first_name": "TOLULOPE",
        "authorized_official_middle_name": "MATHIAS",
        "authorized_official_title_or_position": "MEDICAL DIRECTOR",
        "authorized_official_telephone_number": "302-559-5959",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "M.D"
    },
    "taxonomies": [
        {
            "code": "261QP2300X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Primary Care",
            "state": "DE",
            "license": "C1-0009747",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• Primary Care Clinic/Center in Hockessin, DE
• Providers in Hockessin, DE by specialty
• Primary Care Clinic/Center in Delaware

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 8, 2013; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.