Southbridge Medical Advisory Council INC
NPI #1639417280 in Wilmington, Delaware
Provider Information
- NPI Number
- 1639417280
- Entity Type
- Organization
- Organization Name
- Southbridge Medical Advisory Council INC
- Subpart
- Yes (part of a larger organization)
- Parent Organization
- SOUTHBRIDGE MEDICAL ADVISORY COUNCIL INC
- Primary Specialty
- Clinic/Center - Federally Qualified Health Center (FQHC)
- Enumeration Date
- Jan 16, 2013
- Last Updated
- Jan 16, 2013
Practice Location
- Address
- 600 N LOMBARD ST
- City
- Wilmington
- State
- Delaware
- ZIP Code
- 19801-4429
- Phone
- (302) 761-4610
Authorized Official
- Name
- MS. ROSA RIVERA
- Title
- CHIEF EXECUTIVE OFFICER
- Phone
- (302) 427-9696
Specialties & Taxonomy Codes
| Specialty |
|---|
| Dentist |
| Clinic/Center - Federally Qualified Health Center (FQHC) — Federally Qualified Health Center (FQHC) |
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