Diamond State Primary Care, LLC

NPI #1386246940 in Newark, Delaware

Provider Information

NPI Number: 1386246940
Entity Type: Organization
Organization Name: Diamond State Primary Care, LLC
Primary Specialty: Family Medicine
Enumeration Date: Nov 9, 2020
Last Updated: Dec 3, 2020

Practice Location

Address: 1400 PEOPLES PLZ STE 305
City: Newark
State: Delaware
ZIP Code: 19702-5708
Phone: (302) 838-2210

Authorized Official

Name: DR. IMELYN FERNANDEZ LAHEY, MD
Title: OWNER
Phone: (302) 838-2210

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Family Medicine	207Q00000X	Primary

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