Southbridge Medical Advisory Council INC
NPI #1770699621 in Wilmington, Delaware
Provider Information
- NPI Number
- 1770699621
- Entity Type
- Organization
- Organization Name
- Southbridge Medical Advisory Council INC
- Primary Specialty
- Clinic/Center - Federally Qualified Health Center (FQHC)
- Enumeration Date
- Aug 22, 2006
- Last Updated
- Jan 16, 2013
Practice Location
- Address
- 601 NEW CASTLE AVE
- City
- Wilmington
- State
- Delaware
- ZIP Code
- 19801
- Phone
- (302) 655-6187
Authorized Official
- Name
- MS. ROSA V RIVERA
- Title
- CHIEF EXECUTIVE OFFICER
- Phone
- (302) 655-6187
Specialties & Taxonomy Codes
| Specialty |
|---|
| Dentist |
| Family Medicine |
| Obstetrics & Gynecology - Gynecology — Gynecology |
| Clinic/Center - Federally Qualified Health Center (FQHC) — Federally Qualified Health Center (FQHC) |
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