Evernorth Care Providers - Delaware PA

NPI #1437803012 in East Berlin, Connecticut

Provider Information

NPI Number
1437803012
Entity Type
Organization
Organization Name
Evernorth Care Providers - Delaware PA
Primary Specialty
Internal Medicine
Enumeration Date
Feb 11, 2022
Last Updated
Jan 22, 2024

Practice Location

Address
1224 MILL ST STE 224
ZIP Code
06023-1159
Phone
(773) 292-4800

Authorized Official

Name
GRACE V BLUE
Title
CREDENTIALING SR. MANAGER
Phone
(773) 292-4800

Specialties & Taxonomy Codes

Specialty
Family Medicine - Hospice and Palliative MedicineHospice and Palliative Medicine
Internal Medicine - Hospice and Palliative MedicineHospice and Palliative Medicine
Family Medicine
Internal Medicine

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