Provider Passport Inc.

NPI #1174366124 in Lewes, Delaware

Provider Information

NPI Number
1174366124
Entity Type
Organization
Organization Name
Provider Passport Inc.
Primary Specialty
Health Maintenance Organization
Enumeration Date
Jun 17, 2024
Last Updated
Jun 17, 2024

Practice Location

Address
16192 COASTAL HWY
City
Lewes
ZIP Code
19958-3608
Phone
(917) 456-9261

Authorized Official

Name
HARMAN DHAWAN
Title
PRESIDENT
Phone
(917) 456-9261

Specialties & Taxonomy Codes

Specialty
Health Maintenance Organization

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