Active NPI 1679552764 Individual Practitioner Male Practitioner

Dr. Prayus T Tailor , MD

Internal Medicine - Nephrology • Newark, DE

✓ Accepts Medicare Assignment Telehealth Available

Professional Overview & Biography Verified Profile Summary

Dr. Prayus Tailor, MD is a certified Internal Medicine - Nephrology practicing in Newark, DE. With approximately 26 years of clinical experience since completing medical education in 2000, Dr. Tailor delivers high-quality medical care to the local community at 4923 OGLETOWN STANTON RD.

Dr. Tailor is affiliated with Nephrology Associates Pa and accepts Medicare assignment . Telehealth and virtual consultation options are available for eligible patients.

Frequently performed procedures and clinical services include injection, epoetin alfa-epbx, biosimilar, (retacrit) (for non-esrd use), 1000 units, dialysis services, per day, less than full month service (20 years or older), visit complexity inherent to evaluation and management associated with medical care services that serve as the continuing focal point for all needed health care services and/or with medical care services that are part of ongoing care related to a patient's. Full Medicare procedure pricing transparency rates and service volume details are listed on this profile.

Practice Location & Contact Primary Location

Practice Address

4923 Ogletown Stanton Rd
Suite 200

Newark, DE 197132081

Telephone 3022250451

Fax 3022250472

Associated Practice Facility / Clinic

🏢 Mid-Atlantic Endoscopy Center, Llc Facility NPI 1497751747

Medicare Profile & Education

Medical School

Other

Graduation Year

2000

Medicare Assignment

✓ Accepts Assignment

Telehealth Flag

Telehealth Services Available

Specialty Benchmarks & Practice Insights

Comparative analytics for Internal Medicine - Nephrology in Newark, DE

Senior Veteran Specialist (>20 Yrs)

Practitioner Clinical Experience

26 Yrs +4.2 yrs vs City Avg

City Avg: 21.8 Yrs

State Avg: 24.9 Yrs

Regional Practice Density

22 Specialists

Practicing in Newark, DE (52 Statewide)

Telehealth Adoption Rate

63.6% Regional Adoption

✓ Offers Virtual Consultations

Medicare Pricing Discount

47.7% Avg Savings

Under CMS Medicare Fee Schedule vs Standard Submitted Charges

Clinical Seniority & Experience Comparison

Dr. Tailor (26 Years) 26 Yrs

Newark Specialty Average (21.8 Years) 21.8 Yrs

Performed Procedures & Service Volume

Top Medicare Part B procedures performed by this practitioner

CMS Official Data (2024)

Reporting Year:

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
Q5106 Injection, epoetin alfa-epbx, biosimilar, (retacrit) (for non-esrd use), 1000 units	1,740	44	$10.00	$7.12
90970 Dialysis services, per day, less than full month service (20 years or older)	545	18	$22.00	$8.92
G2211 Visit complexity inherent to evaluation and management associated with medical care services that serve as the continuing focal point for all needed health care services and/or with medical care services that are part of ongoing care related to a patient's	397	272	$20.00	$15.90
99214 Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more	341	233	$170.00	$102.44
90966 Home dialysis services per month, patient 20 years of age or older	136	32	$660.00	$284.58
99232 Subsequent hospital care with moderate levelof medical decision making, if using time, at least 35 minutes	105	79	$93.43	$76.54
96372 Injection beneath the skin or into muscle for therapy, diagnosis, or prevention	83	43	$30.00	$13.68
99213 Established patient office or other outpatient visit, typically 15 minutes	71	63	$120.00	$86.85
99233 Subsequent hospital care with moderate levelof medical decision making, if using time, at least 50 minutes	69	46	$127.83	$115.10
99204 New patient office or other outpatient visit with moderate level of medical decision making, if using time, 45 minutes or more	55	55	$225.00	$163.96
90962 Dialysis services, 1 physician visit per month (20 years or older)	52	20	$490.00	$196.60
81002 Urinalysis, manual test	48	46	$10.00	$3.41
99223 Initial hospital care with moderate level of medical decision making, if using time, at least 75 minutes	47	43	$260.00	$167.97
90935 Hemodialysis procedure with physician evaluation	33	27	$325.00	$68.68
99215 Established patient office or other outpatient visit with high level of medical decision making, if using time, 40 minutes or more	12	12	$235.00	$150.46

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
Q5106 Injection, epoetin alfa-epbx, biosimilar, (retacrit) (for non-esrd use), 1000 units	1,300	38	$10.00	$7.64
90970 Dialysis services, per day, less than full month service (20 years or older)	695	30	$22.00	$9.38
99214 Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more	297	207	$170.00	$111.22
99232 Subsequent hospital care with moderate levelof medical decision making, if using time, at least 35 minutes	167	102	$90.00	$78.33
90966 Home dialysis services per month, patient 20 years of age or older	163	33	$660.00	$289.71
99213 Established patient office or other outpatient visit, typically 15 minutes	108	96	$120.00	$87.55
96372 Injection beneath the skin or into muscle for therapy, diagnosis, or prevention	60	37	$30.00	$14.08
90935 Hemodialysis procedure with physician evaluation	54	46	$325.00	$70.64
99223 Initial hospital care with moderate level of medical decision making, if using time, at least 75 minutes	42	42	$260.00	$171.86
99233 Subsequent hospital care with moderate levelof medical decision making, if using time, at least 50 minutes	38	26	$120.00	$117.80
90960 Dialysis services, 4 or more physician visits per month (20 years or older)	31	24	$660.00	$348.63
81002 Urinalysis, manual test	18	15	$10.00	$3.41
99222 Initial hospital care with straightforward or low-level medical decision making, if using time, at least 55 minutes	14	14	$210.00	$128.77
99215 Established patient office or other outpatient visit with high level of medical decision making, if using time, 40 minutes or more	13	12	$235.00	$122.78
99204 New patient office or other outpatient visit with moderate level of medical decision making, if using time, 45 minutes or more	11	11	$225.00	$165.35

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
Q5106 Injection, epoetin alfa-epbx, biosimilar, (retacrit) (for non-esrd use), 1000 units	1,900	45	$10.00	$8.13
99232 Subsequent hospital care with moderate levelof medical decision making, if using time, at least 35 minutes	830	288	$90.00	$70.66
99214 Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more	283	192	$170.00	$117.66
90935 Hemodialysis procedure with physician evaluation	174	95	$325.00	$72.71
90960 Dialysis services, 4 or more physician visits per month (20 years or older)	172	35	$660.00	$360.19
99213 Established patient office or other outpatient visit, typically 15 minutes	144	122	$120.00	$89.57
90966 Home dialysis services per month, patient 20 years of age or older	123	20	$660.00	$291.59
99223 Initial hospital care with moderate level of medical decision making, if using time, at least 75 minutes	123	119	$260.00	$197.42
99233 Subsequent hospital care with moderate levelof medical decision making, if using time, at least 50 minutes	91	46	$120.00	$101.94
96372 Injection beneath the skin or into muscle for therapy, diagnosis, or prevention	74	45	$30.00	$14.60
99231 Follow-up hospital inpatient care per day, typically 15 minutes	37	33	$70.00	$37.84
99222 Initial hospital care with straightforward or low-level medical decision making, if using time, at least 55 minutes	36	36	$210.00	$134.30
90945 Dialysis procedure including 1 evaluation	31	12	$325.00	$86.27
99204 New patient office or other outpatient visit with moderate level of medical decision making, if using time, 45 minutes or more	28	28	$225.00	$169.71
81002 Urinalysis, manual test	24	23	$10.00	$3.44
90961 Dialysis services, 2-3 physician visits per month (20 years or older)	24	16	$604.00	$298.30
99291 Critical care, first 30-74 minutes	13	11	$380.00	$217.04
99442 Telephone medical discussion with physician, 11-20 minutes	11	11	$120.00	$69.06

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
Q5106 Injection, epoetin alfa-epbx, biosimilar, (retacrit) (for non-esrd use), 1000 units	2,650	68	$10.00	$8.75
99232 Subsequent hospital care with moderate levelof medical decision making, if using time, at least 35 minutes	1,006	343	$90.00	$72.37
99214 Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more	398	255	$170.00	$131.24
90935 Hemodialysis procedure with physician evaluation	240	100	$325.00	$73.81
90960 Dialysis services, 4 or more physician visits per month (20 years or older)	218	43	$660.00	$365.11
99223 Initial hospital care with moderate level of medical decision making, if using time, at least 75 minutes	170	165	$260.00	$201.83
99213 Established patient office or other outpatient visit, typically 15 minutes	128	109	$120.00	$92.90
90966 Home dialysis services per month, patient 20 years of age or older	121	16	$659.50	$299.16
96372 Injection beneath the skin or into muscle for therapy, diagnosis, or prevention	114	68	$30.00	$14.49
99233 Subsequent hospital care with moderate levelof medical decision making, if using time, at least 50 minutes	92	64	$120.00	$104.18
99204 New patient office or other outpatient visit with moderate level of medical decision making, if using time, 45 minutes or more	45	45	$225.00	$171.36
81002 Urinalysis, manual test	43	43	$10.00	$3.48
90945 Dialysis procedure including 1 evaluation	41	15	$325.00	$87.54
99442 Telephone medical discussion with physician, 11-20 minutes	35	32	$120.00	$93.01
99231 Follow-up hospital inpatient care per day, typically 15 minutes	32	28	$70.00	$38.63
99215 Established patient office or other outpatient visit with high level of medical decision making, if using time, 40 minutes or more	21	21	$235.00	$184.86
99222 Initial hospital care with straightforward or low-level medical decision making, if using time, at least 55 minutes	18	18	$210.00	$136.95
90961 Dialysis services, 2-3 physician visits per month (20 years or older)	17	16	$604.00	$302.31
99443 Telephone medical discussion with physician, 21-30 minutes	16	16	$170.00	$132.93

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
J0885 Injection, epoetin alfa, (for non-esrd use), 1000 units	1,463	51	$15.00	$9.90
99232 Subsequent hospital care with moderate levelof medical decision making, if using time, at least 35 minutes	765	301	$90.00	$74.09
99214 Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more	409	246	$125.00	$110.11
Q5106 Injection, epoetin alfa-epbx, biosimilar, (retacrit) (for non-esrd use), 1000 units	330	15	$10.00	$8.61
90960 Dialysis services, 4 or more physician visits per month (20 years or older)	239	47	$660.00	$290.99
90935 Hemodialysis procedure with physician evaluation	163	93	$325.00	$75.51
99223 Initial hospital care with moderate level of medical decision making, if using time, at least 75 minutes	152	147	$260.00	$207.78
90966 Home dialysis services per month, patient 20 years of age or older	114	16	$660.00	$246.14
96372 Injection beneath the skin or into muscle for therapy, diagnosis, or prevention	97	56	$30.00	$14.58
99213 Established patient office or other outpatient visit, typically 15 minutes	95	88	$85.00	$76.51
99442 Telephone medical discussion with physician, 11-20 minutes	79	73	$82.85	$76.50
99233 Subsequent hospital care with moderate levelof medical decision making, if using time, at least 50 minutes	70	36	$120.00	$107.00
99204 New patient office or other outpatient visit with moderate level of medical decision making, if using time, 45 minutes or more	47	47	$190.00	$168.26
81002 Urinalysis, manual test	36	36	$10.00	$3.46
90945 Dialysis procedure including 1 evaluation	30	15	$325.00	$88.21
99215 Established patient office or other outpatient visit with high level of medical decision making, if using time, 40 minutes or more	22	21	$165.00	$149.69
99231 Follow-up hospital inpatient care per day, typically 15 minutes	21	21	$70.00	$40.30
90961 Dialysis services, 2-3 physician visits per month (20 years or older)	20	14	$604.00	$246.55
99441 Telephone medical discussion with physician, 5-10 minutes	15	15	$51.67	$46.41
99443 Telephone medical discussion with physician, 21-30 minutes	14	14	$121.43	$110.01

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
J0885 Injection, epoetin alfa, (for non-esrd use), 1000 units	1,884	58	$14.15	$11.36
99232 Subsequent hospital care with moderate levelof medical decision making, if using time, at least 35 minutes	993	368	$90.00	$73.38
99214 Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more	563	313	$125.00	$109.99
90935 Hemodialysis procedure with physician evaluation	261	125	$325.00	$74.49
90960 Dialysis services, 4 or more physician visits per month (20 years or older)	218	42	$660.00	$288.69
99223 Initial hospital care with moderate level of medical decision making, if using time, at least 75 minutes	175	172	$260.00	$205.39
96372 Injection beneath the skin or into muscle for therapy, diagnosis, or prevention	112	58	$30.00	$16.94
90966 Home dialysis services per month, patient 20 years of age or older	103	14	$660.00	$240.04
99213 Established patient office or other outpatient visit, typically 15 minutes	71	61	$85.00	$75.55
99233 Subsequent hospital care with moderate levelof medical decision making, if using time, at least 50 minutes	57	40	$120.00	$105.53
99222 Initial hospital care with straightforward or low-level medical decision making, if using time, at least 55 minutes	46	45	$210.00	$139.19
99231 Follow-up hospital inpatient care per day, typically 15 minutes	44	33	$70.00	$40.00
81002 Urinalysis, manual test	38	36	$10.00	$3.41
90961 Dialysis services, 2-3 physician visits per month (20 years or older)	35	30	$604.00	$242.63
99215 Established patient office or other outpatient visit with high level of medical decision making, if using time, 40 minutes or more	29	28	$165.00	$143.54
99204 New patient office or other outpatient visit with moderate level of medical decision making, if using time, 45 minutes or more	27	27	$190.00	$167.04
90945 Dialysis procedure including 1 evaluation	20	11	$325.00	$87.17
99291 Critical care, first 30-74 minutes	11	11	$380.00	$226.45

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
J0885 Injection, epoetin alfa, (for non-esrd use), 1000 units	1,253	36	$13.00	$12.22
99232 Subsequent hospital care with moderate levelof medical decision making, if using time, at least 35 minutes	1,104	376	$90.00	$74.01
99214 Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more	456	269	$125.00	$108.61
90935 Hemodialysis procedure with physician evaluation	274	124	$325.00	$74.05
90960 Dialysis services, 4 or more physician visits per month (20 years or older)	236	50	$660.00	$286.81
99223 Initial hospital care with moderate level of medical decision making, if using time, at least 75 minutes	165	155	$260.00	$206.59
36415 Insertion of needle into vein for collection of blood sample	149	83	$8.00	$2.94
90966 Home dialysis services per month, patient 20 years of age or older	111	15	$660.00	$236.71
85025 Complete blood cell count (red cells, white blood cell, platelets), automated test and automated differential white blood cell count	96	71	$27.00	$9.40
99213 Established patient office or other outpatient visit, typically 15 minutes	90	81	$85.00	$73.60
83970 Parathormone (parathyroid hormone) level	73	61	$141.00	$49.94
80053 Blood test, comprehensive group of blood chemicals	69	53	$37.00	$12.78
82570 Creatinine level to test for kidney function or muscle injury	65	53	$18.00	$6.26
96372 Injection beneath the skin or into muscle for therapy, diagnosis, or prevention	64	36	$30.00	$20.91
84156 Total protein level, urine	57	46	$12.00	$4.44
84100 Phosphate level	56	43	$17.00	$5.73
99231 Follow-up hospital inpatient care per day, typically 15 minutes	55	39	$70.00	$39.36
90961 Dialysis services, 2-3 physician visits per month (20 years or older)	53	33	$604.00	$242.55
80069 Kidney function blood test panel	51	41	$30.00	$10.51
81001 Manual urinalysis test with examination using microscope, automated	50	41	$11.00	$3.84
99233 Subsequent hospital care with moderate levelof medical decision making, if using time, at least 50 minutes	46	36	$120.00	$106.15
99222 Initial hospital care with straightforward or low-level medical decision making, if using time, at least 55 minutes	45	43	$210.00	$139.38
84550 Uric acid level, blood	42	33	$16.00	$5.47
90945 Dialysis procedure including 1 evaluation	31	11	$325.00	$87.01
99204 New patient office or other outpatient visit with moderate level of medical decision making, if using time, 45 minutes or more	31	31	$190.00	$163.38
83540 Iron level	30	15	$23.00	$7.83
83550 Iron binding capacity	29	14	$30.00	$10.57
82306 Vitamin d-3 level	23	23	$101.00	$35.82
82728 Ferritin (blood protein) level	21	15	$47.00	$16.49
81002 Urinalysis, manual test	17	17	$10.00	$3.41
99215 Established patient office or other outpatient visit with high level of medical decision making, if using time, 40 minutes or more	11	11	$165.00	$147.67

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
J0885 Injection, epoetin alfa, (for non-esrd use), 1000 units	1,619	26	$13.00	$12.21
99232 Subsequent hospital care with moderate levelof medical decision making, if using time, at least 35 minutes	925	353	$90.18	$73.07
99214 Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more	477	269	$125.00	$108.73
90970 Dialysis services, per day, less than full month service (20 years or older)	328	12	$22.00	$7.91
90960 Dialysis services, 4 or more physician visits per month (20 years or older)	298	54	$660.00	$287.75
36415 Insertion of needle into vein for collection of blood sample	293	138	$8.00	$2.94
90935 Hemodialysis procedure with physician evaluation	213	122	$325.00	$73.27
99213 Established patient office or other outpatient visit, typically 15 minutes	171	136	$85.00	$73.23
85025 Complete blood cell count (red cells, white blood cell, platelets), automated test and automated differential white blood cell count	166	101	$27.00	$10.45
99223 Initial hospital care with moderate level of medical decision making, if using time, at least 75 minutes	162	157	$260.00	$204.07
83970 Parathormone (parathyroid hormone) level	144	90	$141.00	$55.49
80053 Blood test, comprehensive group of blood chemicals	134	86	$37.00	$9.56
80069 Kidney function blood test panel	102	75	$30.00	$11.33
84100 Phosphate level	102	69	$17.00	$3.96
81001 Manual urinalysis test with examination using microscope, automated	101	76	$11.00	$4.20
96372 Injection beneath the skin or into muscle for therapy, diagnosis, or prevention	93	24	$30.00	$25.23
82570 Creatinine level to test for kidney function or muscle injury	93	75	$18.00	$6.89
90966 Home dialysis services per month, patient 20 years of age or older	81	16	$660.00	$239.01
84156 Total protein level, urine	80	63	$12.00	$4.45
83550 Iron binding capacity	71	41	$30.00	$11.75
83540 Iron level	70	41	$23.00	$8.70
84550 Uric acid level, blood	70	57	$16.00	$3.51
82728 Ferritin (blood protein) level	65	41	$47.00	$18.33
82306 Vitamin d-3 level	59	56	$101.00	$39.80
99231 Follow-up hospital inpatient care per day, typically 15 minutes	55	42	$70.00	$39.94
99204 New patient office or other outpatient visit with moderate level of medical decision making, if using time, 45 minutes or more	47	47	$190.00	$164.26
90945 Dialysis procedure including 1 evaluation	46	17	$325.00	$87.02
99222 Initial hospital care with straightforward or low-level medical decision making, if using time, at least 55 minutes	38	37	$211.32	$139.33
90961 Dialysis services, 2-3 physician visits per month (20 years or older)	31	27	$604.00	$241.66
81003 Automated urinalysis test	31	28	$8.00	$3.02
99233 Subsequent hospital care with moderate levelof medical decision making, if using time, at least 50 minutes	29	24	$120.00	$102.90
83735 Magnesium level	27	19	$23.00	$9.01
G0008 Administration of influenza virus vaccine	27	27	$30.00	$25.89
82043 Urine microalbumin (protein) level	26	25	$20.00	$7.49
81002 Urinalysis, manual test	26	26	$10.00	$3.43
99215 Established patient office or other outpatient visit with high level of medical decision making, if using time, 40 minutes or more	23	22	$165.00	$147.07
85014 Red blood cell concentration measurement	19	12	$9.00	$3.18
90662 Influenza vaccine split virus, preservative free	19	19	$60.00	$48.05
85018 Blood count, hemoglobin	19	12	$9.00	$3.18
85027 Complete blood cell count (red cells, white blood cell, platelets), automated test	15	13	$23.00	$8.69
85007 Microscopic examination for white blood cells with manual cell count	14	12	$12.00	$4.62
99214 Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more	13	12	$125.00	$79.83

Medical Specialties & State Licenses

CMS Verified: 2021-06-17

Internal Medicine - Nephrology Primary Specialty

NUCC Taxonomy Code: 207RN0300X

State License DE C10007691

An internist who treats disorders of the kidney, high blood pressure, fluid and mineral balance and dialysis of body wastes when the kidneys do not function. This specialist consults with surgeons about kidney transplantation.

Internal Medicine - Nephrology

NUCC Taxonomy Code: 207RN0300X

State License MD D0063274

Additional State Medicaid & Healthcare Payer Identifiers

Medicaid State Provider ID

408743700 (MD)

Medicaid State Provider ID

1000037505 (DE)

Medicaid State Provider ID

0079430 (NJ)

Hospital & Practice Group Affiliations

Nephrology Associates Pa

4923 Ogletown Stanton Rd, Newark, DE 197132081

Phone: 3022250451

Nephrology Associates Pa

137 W High St, Elkton, MD 219218614

Phone: 4106209200

Nephrology Associates Pa

701 N Clayton St, Wilmington, DE 198053165

Phone: 3024219411

Practice Associates & Co-Workers

Healthcare professionals and specialists practicing at this location or sharing practice phone/fax

40 Associated Practitioners

Lieren Healey

Nurse's Aide

NPI 1023566866

Jackline Nanga-Nsemwa , MSN FNP-BC

Nurse Practitioner

NPI 1043615099

MSNFNPBC

Linda Mcminn

Nurse's Aide

NPI 1053902585

Valerie Burris

Nurse's Aide

NPI 1215325980

Yamileth Wu-Gerrard , MSN

Nurse Practitioner

NPI 1215977707

Master of Science in Nursing

Colleen Ellis , FNP-C

Nurse Practitioner

NPI 1225436801

Family Nurse Practitioner (Certified)

Career & Practice History Timeline

Chronological log of verified NPI updates, location relocations, credentials, and registry changes

7 Historical Events

🎓

Medical Taxonomy / Specialty Registered (Primary Specialty) June 17, 2021

Internal Medicine (License #C10007691 in DE)

✅

NPI Profile Active June 15, 2011

NPI status registered as active in NPPES database

📍

Updated Practice Location June 15, 2011

Registered at 4923 OGLETOWN STANTON RD, SUITE 200, NEWARK, DE 197132081 (Tel: 3022250451)

📍

Updated Business Mailing Address June 15, 2011

Registered at 4923 OGLETOWN STANTON RD, SUITE 200, NEWARK, DE 197132081 (Tel: 3022250451)

👤

Provider Name / Credentials Updated June 15, 2011

Recorded as PRAYUS TAILOR, M.D.

🎓

Medical Taxonomy / Specialty Registered (Primary Specialty) June 15, 2011

Internal Medicine (License #C10007691 in DE)

🟢

Initial NPI Registration & Enumeration January 17, 2006

First registered as active Individual Practitioner in NPPES Database.

Patient & Community Reviews

Verified patient ratings, medical care experiences, and facility photos

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NPI Administrative Meta

NPI Number: 1679552764

Entity Type:

Individual Provider Physician, Nurse Practitioner, or Solo Healthcare Professional (Type 1 NPI)

Enumeration Date: January 17, 2006

Last Update: June 17, 2021

Sole Proprietor: No

Update or Correct Profile

Mailing Address

4923 Ogletown Stanton Rd, Suite 200

Newark, DE 197132081

Phone: 3022250451

Public Domain Record This profile contains public domain information published by CMS and NPPES under the Freedom of Information Act (FOIA).

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