Active NPI 1043359292 Individual Practitioner Male Practitioner

Dr. Dean L Mittman , MD

Dermatology • Rehoboth Beach, DE

✓ Accepts Medicare Assignment Telehealth Available

Professional Overview & Biography Verified Profile Summary

Dr. Dean Mittman, MD is a certified Dermatology practicing in Rehoboth Beach, DE. With approximately 40 years of clinical experience since graduating from Drexel University College Of Medicine in 1986, Dr. Mittman delivers high-quality medical care to the local community at 18947 JOHN J WILLIAMS HWY UNIT 201.

Dr. Mittman is affiliated with Beebe Physician Network Inc. and accepts Medicare assignment . Telehealth and virtual consultation options are available for eligible patients.

Frequently performed procedures and clinical services include destruction of precancer skin growth, 2-14 growths, established patient outpatient office visit, destruction of up to 14 skin growths. Full Medicare procedure pricing transparency rates and service volume details are listed on this profile.

Practice Location & Contact Primary Location

Practice Address

18947 John J Williams Hwy Unit 201

Rehoboth Beach, DE 199714476

Telephone 3026454801

Fax 8889874173

Associated Practice Facility / Clinic

🏢 Beebe Physician Network Inc. Facility NPI 1730133992

Medicare Profile & Education

Medical School

Drexel University College Of Medicine

Graduation Year

1986

Medicare Assignment

✓ Accepts Assignment

Telehealth Flag

Telehealth Services Available

Specialty Benchmarks & Practice Insights

Comparative analytics for Dermatology in Rehoboth Beach, DE

Senior Veteran Specialist (>20 Yrs)

Practitioner Clinical Experience

40 Yrs Matches City Avg

City Avg: 40.0 Yrs

State Avg: 25.2 Yrs

Regional Practice Density

1 Specialists

Practicing in Rehoboth Beach, DE (28 Statewide)

Telehealth Adoption Rate

100.0% Regional Adoption

✓ Offers Virtual Consultations

Medicare Pricing Discount

57.2% Avg Savings

Under CMS Medicare Fee Schedule vs Standard Submitted Charges

Clinical Seniority & Experience Comparison

Dr. Mittman (40 Years) 40 Yrs

Rehoboth Beach Specialty Average (40.0 Years) 40.0 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
17003 Destruction of precancer skin growth, 2-14 growths	1,527	306	$20.00	$5.78
99213 Established patient office or other outpatient visit, typically 15 minutes	1,160	872	$132.00	$83.07
17110 Destruction of up to 14 skin growths	676	560	$193.00	$95.01
17000 Destruction of skin growth	578	446	$142.00	$38.30
11102 Tangential biopsy of single skin lesion	263	236	$227.00	$61.79
99212 Established patient office or other outpatient visit with straightforward medical decision making, if using time, 10 minutes or more	121	111	$81.00	$51.17
17111 Destruction of skin growth, 15 or more growths	86	76	$230.00	$117.07
11103 Biopsy of related skin growth, each additional growth	80	60	$123.00	$44.25
99214 Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more	78	69	$188.00	$117.74
10060 Simple or single drainage of skin abscess	65	63	$211.00	$107.81
99203 New patient office or other outpatient visit with low level of medical decision making, if using time, 30 minutes or more	39	39	$171.00	$102.25
17004 Destruction of precancer skin growth, 15 or more growths	38	32	$468.00	$149.00
17282 Destruction of cancer skin growth of face, ears, eyelids, nose, lips, or mouth, 1.1-2.0 cm	33	30	$462.00	$176.18
10061 Complicated or multiple drainage of skin abscess	32	29	$366.00	$190.16
17262 Destruction of cancer skin growth of trunk, arms, or legs, 1.1-2.0 cm	28	25	$316.00	$142.20
69100 Biopsy of ear	22	22	$226.00	$55.90
17263 Destruction of cancer skin growth of trunk, arms, or legs, 2.1-3.0 cm	21	19	$381.00	$168.58
J3301 Injection, triamcinolone acetonide, not otherwise specified, 10 mg	20	11	$5.00	$0.99
17272 Destruction of cancer skin growth of scalp, neck, hands, feet, or genitals, 1.1-2.0 cm	15	15	$382.00	$146.88
11900 Injection into skin growth, 1-7 growths	13	13	$119.00	$31.57
99202 New patient office or other outpatient visit, typically 20 minutes	12	12	$115.00	$65.48

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
99213 Established patient office or other outpatient visit, typically 15 minutes	1,191	933	$122.66	$84.30
17003 Destruction of precancer skin growth, 2-14 growths	1,014	318	$20.00	$6.00
17110 Destruction of up to 14 skin growths	641	555	$193.00	$96.83
17000 Destruction of skin growth	617	491	$142.00	$38.85
11102 Tangential biopsy of single skin lesion	300	265	$227.00	$67.53
99212 Established patient office or other outpatient visit with straightforward medical decision making, if using time, 10 minutes or more	122	114	$75.41	$52.32
17111 Destruction of skin growth, 15 or more growths	91	79	$230.00	$118.49
11103 Biopsy of related skin growth, each additional growth	91	63	$123.00	$44.99
99214 Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more	87	78	$177.94	$119.70
10060 Simple or single drainage of skin abscess	56	55	$206.18	$106.07
99203 New patient office or other outpatient visit with low level of medical decision making, if using time, 30 minutes or more	52	52	$168.79	$103.49
J3301 Injection, triamcinolone acetonide, not otherwise specified, 10 mg	50	25	$5.00	$1.07
17282 Destruction of cancer skin growth of face, ears, eyelids, nose, lips, or mouth, 1.1-2.0 cm	38	38	$462.00	$180.80
17004 Destruction of precancer skin growth, 15 or more growths	37	32	$468.00	$154.22
10061 Complicated or multiple drainage of skin abscess	33	32	$363.09	$194.63
17263 Destruction of cancer skin growth of trunk, arms, or legs, 2.1-3.0 cm	27	26	$381.00	$170.91
17262 Destruction of cancer skin growth of trunk, arms, or legs, 1.1-2.0 cm	25	24	$316.00	$144.25
11900 Injection into skin growth, 1-7 growths	23	21	$119.00	$38.67
69100 Biopsy of ear	20	20	$226.00	$66.26
17272 Destruction of cancer skin growth of scalp, neck, hands, feet, or genitals, 1.1-2.0 cm	17	17	$382.00	$153.19
17273 Destruction of malignant growth (2.1 to 3.0 centimeters) of scalp, neck, hands, feet, or genitals	13	13	$431.00	$192.78

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
99213 Established patient office or other outpatient visit, typically 15 minutes	1,488	1,212	$114.00	$84.97
17003 Destruction of precancer skin growth, 2-14 growths	1,214	375	$20.00	$6.11
17000 Destruction of skin growth	761	642	$142.00	$43.36
17110 Destruction of up to 14 skin growths	667	601	$193.00	$98.37
11102 Tangential biopsy of single skin lesion	346	319	$227.00	$73.93
99214 Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more	157	138	$163.00	$120.65
99212 Established patient office or other outpatient visit with straightforward medical decision making, if using time, 10 minutes or more	141	130	$70.00	$52.47
11103 Biopsy of related skin growth, each additional growth	120	82	$123.00	$46.93
99203 New patient office or other outpatient visit with low level of medical decision making, if using time, 30 minutes or more	84	84	$166.00	$105.42
17111 Destruction of skin growth, 15 or more growths	79	72	$230.00	$121.21
10060 Simple or single drainage of skin abscess	63	61	$202.00	$107.73
17004 Destruction of precancer skin growth, 15 or more growths	55	54	$468.00	$154.73
10061 Complicated or multiple drainage of skin abscess	41	37	$358.00	$194.19
17262 Destruction of cancer skin growth of trunk, arms, or legs, 1.1-2.0 cm	34	31	$316.00	$143.76
69100 Biopsy of ear	32	31	$226.00	$62.65
J3301 Injection, triamcinolone acetonide, not otherwise specified, 10 mg	29	16	$5.00	$1.15
17282 Destruction of cancer skin growth of face, ears, eyelids, nose, lips, or mouth, 1.1-2.0 cm	26	26	$462.00	$186.83
99202 New patient office or other outpatient visit, typically 20 minutes	17	17	$115.00	$68.10
17272 Destruction of cancer skin growth of scalp, neck, hands, feet, or genitals, 1.1-2.0 cm	15	14	$382.00	$174.40
11900 Injection into skin growth, 1-7 growths	14	14	$112.71	$35.47
17263 Destruction of cancer skin growth of trunk, arms, or legs, 2.1-3.0 cm	11	11	$381.00	$147.14

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
99213 Established patient office or other outpatient visit, typically 15 minutes	1,456	1,221	$112.48	$85.91
17003 Destruction of precancer skin growth, 2-14 growths	1,324	458	$19.96	$5.89
17000 Destruction of skin growth	881	742	$142.00	$40.32
17110 Destruction of up to 14 skin growths	841	740	$193.00	$98.66
11102 Tangential biopsy of single skin lesion	385	352	$227.00	$71.33
99212 Established patient office or other outpatient visit with straightforward medical decision making, if using time, 10 minutes or more	376	317	$68.36	$52.48
99203 New patient office or other outpatient visit with low level of medical decision making, if using time, 30 minutes or more	114	114	$166.00	$104.37
11103 Biopsy of related skin growth, each additional growth	108	83	$123.00	$48.59
17111 Destruction of skin growth, 15 or more growths	97	82	$230.00	$120.29
10060 Simple or single drainage of skin abscess	79	77	$202.00	$108.09
17004 Destruction of precancer skin growth, 15 or more growths	56	52	$468.00	$150.15
99214 Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more	55	52	$162.64	$123.03
10061 Complicated or multiple drainage of skin abscess	46	39	$358.00	$199.12
99202 New patient office or other outpatient visit, typically 20 minutes	36	36	$115.00	$67.08
17263 Destruction of cancer skin growth of trunk, arms, or legs, 2.1-3.0 cm	35	32	$381.00	$174.37
69100 Biopsy of ear	34	34	$226.00	$67.41
J3301 Injection, triamcinolone acetonide, not otherwise specified, 10 mg	30	23	$5.00	$1.26
17262 Destruction of cancer skin growth of trunk, arms, or legs, 1.1-2.0 cm	27	23	$316.00	$132.00
11900 Injection into skin growth, 1-7 growths	23	21	$108.00	$37.54
17282 Destruction of cancer skin growth of face, ears, eyelids, nose, lips, or mouth, 1.1-2.0 cm	21	20	$462.00	$192.52
17272 Destruction of cancer skin growth of scalp, neck, hands, feet, or genitals, 1.1-2.0 cm	18	15	$382.00	$151.41
17273 Destruction of malignant growth (2.1 to 3.0 centimeters) of scalp, neck, hands, feet, or genitals	15	15	$431.00	$189.22

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
17003 Destruction of precancer skin growth, 2-14 growths	1,686	544	$20.00	$5.51
17000 Destruction of skin growth	966	790	$142.00	$39.26
99213 Established patient office or other outpatient visit, typically 15 minutes	917	772	$110.00	$70.95
17110 Destruction of up to 14 skin growths	847	716	$193.00	$97.22
99212 Established patient office or other outpatient visit with straightforward medical decision making, if using time, 10 minutes or more	785	631	$67.00	$42.46
11102 Tangential biopsy of single skin lesion	357	332	$227.00	$70.20
99202 New patient office or other outpatient visit, typically 20 minutes	133	133	$115.00	$71.36
11103 Biopsy of related skin growth, each additional growth	117	90	$123.00	$48.92
17111 Destruction of skin growth, 15 or more growths	96	86	$230.00	$119.77
10060 Simple or single drainage of skin abscess	81	80	$202.00	$105.47
17004 Destruction of precancer skin growth, 15 or more growths	74	64	$468.00	$147.01
99203 New patient office or other outpatient visit with low level of medical decision making, if using time, 30 minutes or more	51	51	$166.00	$101.97
10061 Complicated or multiple drainage of skin abscess	40	40	$358.00	$195.40
17263 Destruction of cancer skin growth of trunk, arms, or legs, 2.1-3.0 cm	28	26	$381.00	$170.33
69100 Biopsy of ear	28	25	$226.00	$60.45
17262 Destruction of cancer skin growth of trunk, arms, or legs, 1.1-2.0 cm	21	21	$316.00	$157.54
17282 Destruction of cancer skin growth of face, ears, eyelids, nose, lips, or mouth, 1.1-2.0 cm	19	19	$462.00	$183.08
17273 Destruction of malignant growth (2.1 to 3.0 centimeters) of scalp, neck, hands, feet, or genitals	15	15	$431.00	$189.25
11603 Removal of cancer skin growth of body, arms, or legs, 2.1-3.0 cm	15	14	$552.00	$131.68
J3301 Injection, triamcinolone acetonide, not otherwise specified, 10 mg	14	11	$4.82	$1.50
11106 Incision biopsy, first skin growth	13	13	$355.00	$124.30
11900 Injection into skin growth, 1-7 growths	13	13	$108.00	$29.71
12032 Intermediate repair of wound of scalp, underarms, trunk, arms, or legs, 2.6-7.5 cm	13	13	$497.15	$269.46

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
17003 Destruction of precancer skin growth, 2-14 growths	2,326	682	$20.00	$5.21
17000 Destruction of skin growth	1,245	972	$132.69	$36.73
99213 Established patient office or other outpatient visit, typically 15 minutes	1,232	980	$110.00	$69.89
17110 Destruction of up to 14 skin growths	1,072	881	$181.11	$95.60
99212 Established patient office or other outpatient visit with straightforward medical decision making, if using time, 10 minutes or more	725	585	$67.00	$41.95
11102 Tangential biopsy of single skin lesion	408	368	$227.00	$64.56
99202 New patient office or other outpatient visit, typically 20 minutes	155	155	$115.00	$71.78
11103 Biopsy of related skin growth, each additional growth	148	109	$123.00	$48.82
17111 Destruction of skin growth, 15 or more growths	100	83	$216.48	$118.85
10060 Simple or single drainage of skin abscess	95	93	$198.21	$108.40
99203 New patient office or other outpatient visit with low level of medical decision making, if using time, 30 minutes or more	94	94	$166.00	$102.43
17004 Destruction of precancer skin growth, 15 or more growths	88	76	$468.00	$141.54
10061 Complicated or multiple drainage of skin abscess	60	54	$350.00	$192.65
69100 Biopsy of ear	44	42	$212.36	$78.76
J3301 Injection, triamcinolone acetonide, not otherwise specified, 10 mg	28	22	$5.00	$1.61
12032 Intermediate repair of wound of scalp, underarms, trunk, arms, or legs, 2.6-7.5 cm	25	23	$487.00	$282.89
11900 Injection into skin growth, 1-7 growths	24	20	$108.00	$34.88
11603 Removal of cancer skin growth of body, arms, or legs, 2.1-3.0 cm	24	23	$552.00	$138.87
17263 Destruction of cancer skin growth of trunk, arms, or legs, 2.1-3.0 cm	22	21	$381.00	$167.94
11106 Incision biopsy, first skin growth	19	19	$352.37	$128.34
17273 Destruction of malignant growth (2.1 to 3.0 centimeters) of scalp, neck, hands, feet, or genitals	14	14	$431.00	$196.29
17272 Destruction of cancer skin growth of scalp, neck, hands, feet, or genitals, 1.1-2.0 cm	13	12	$382.00	$175.77
17262 Destruction of cancer skin growth of trunk, arms, or legs, 1.1-2.0 cm	12	12	$316.00	$130.43
11104 Punch biopsy, first skin growth	12	12	$285.00	$104.47

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
17003 Destruction of precancer skin growth, 2-14 growths	2,400	692	$19.98	$4.82
17000 Destruction of skin growth	1,290	1,008	$124.00	$36.28
99213 Established patient office or other outpatient visit, typically 15 minutes	1,190	943	$110.00	$68.06
17110 Destruction of up to 14 skin growths	1,108	917	$166.58	$96.07
99212 Established patient office or other outpatient visit with straightforward medical decision making, if using time, 10 minutes or more	778	637	$67.00	$40.48
11100 Biopsy of single growth of skin and/or tissue	508	442	$169.00	$68.92
99202 New patient office or other outpatient visit, typically 20 minutes	212	212	$115.00	$69.59
11101 Biopsy of each additional growth of skin and/or tissue	187	135	$96.00	$30.48
17111 Destruction of skin growth, 15 or more growths	94	87	$198.64	$117.52
10060 Simple or single drainage of skin abscess	84	82	$189.19	$104.15
17004 Destruction of precancer skin growth, 15 or more growths	84	71	$468.00	$133.36
10061 Complicated or multiple drainage of skin abscess	56	50	$336.79	$191.30
69100 Biopsy of ear	44	41	$202.00	$67.21
12032 Intermediate repair of wound of scalp, underarms, trunk, arms, or legs, 2.6-7.5 cm	31	30	$487.00	$277.30
11603 Removal of cancer skin growth of body, arms, or legs, 2.1-3.0 cm	29	29	$552.00	$131.90
J3301 Injection, triamcinolone acetonide, not otherwise specified, 10 mg	23	19	$5.00	$1.74
99203 New patient office or other outpatient visit with low level of medical decision making, if using time, 30 minutes or more	22	22	$166.00	$99.04
17262 Destruction of cancer skin growth of trunk, arms, or legs, 1.1-2.0 cm	21	19	$316.00	$142.61
17282 Destruction of cancer skin growth of face, ears, eyelids, nose, lips, or mouth, 1.1-2.0 cm	20	20	$452.00	$189.70
11900 Injection into skin growth, 1-7 growths	16	15	$108.00	$33.99
17263 Destruction of cancer skin growth of trunk, arms, or legs, 2.1-3.0 cm	16	15	$381.00	$171.36
11901 Injection into skin growth, more than 7 growths	15	11	$135.00	$52.72
17272 Destruction of cancer skin growth of scalp, neck, hands, feet, or genitals, 1.1-2.0 cm	15	12	$382.00	$172.85
67810 Biopsy of eyelid	12	12	$439.00	$156.12
17273 Destruction of malignant growth (2.1 to 3.0 centimeters) of scalp, neck, hands, feet, or genitals	11	11	$431.00	$183.62

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
17003 Destruction of precancer skin growth, 2-14 growths	1,426	439	$20.00	$5.08
99213 Established patient office or other outpatient visit, typically 15 minutes	1,385	1,074	$107.64	$67.62
17000 Destruction of skin growth	1,340	1,061	$124.00	$35.29
17110 Destruction of up to 14 skin growths	1,194	1,006	$160.50	$95.06
99212 Established patient office or other outpatient visit with straightforward medical decision making, if using time, 10 minutes or more	677	558	$67.00	$39.87
11100 Biopsy of single growth of skin and/or tissue	582	518	$169.00	$65.02
11101 Biopsy of each additional growth of skin and/or tissue	262	180	$96.00	$30.46
99202 New patient office or other outpatient visit, typically 20 minutes	144	144	$115.00	$68.41
17004 Destruction of precancer skin growth, 15 or more growths	105	88	$468.00	$136.74
17111 Destruction of skin growth, 15 or more growths	101	88	$189.72	$117.31
99203 New patient office or other outpatient visit with low level of medical decision making, if using time, 30 minutes or more	81	81	$165.38	$100.51
10060 Simple or single drainage of skin abscess	69	65	$182.61	$102.91
10061 Complicated or multiple drainage of skin abscess	60	54	$331.00	$190.50
69100 Biopsy of ear	52	48	$202.00	$58.74
12032 Intermediate repair of wound of scalp, underarms, trunk, arms, or legs, 2.6-7.5 cm	36	34	$458.50	$267.06
11603 Removal of cancer skin growth of body, arms, or legs, 2.1-3.0 cm	34	32	$552.00	$130.09
17262 Destruction of cancer skin growth of trunk, arms, or legs, 1.1-2.0 cm	29	28	$316.00	$142.96
17282 Destruction of cancer skin growth of face, ears, eyelids, nose, lips, or mouth, 1.1-2.0 cm	24	24	$442.00	$183.48
11900 Injection into skin growth, 1-7 growths	22	19	$101.18	$33.76
17272 Destruction of cancer skin growth of scalp, neck, hands, feet, or genitals, 1.1-2.0 cm	16	14	$382.00	$148.90
11623 Removal of cancer skin growth of scalp, neck, hands, feet, or genitals, 2.1-3.0 cm	13	12	$665.00	$240.53

Medical Specialties & State Licenses

CMS Verified: 2025-06-10

Dermatology Primary Specialty

NUCC Taxonomy Code: 207N00000X

State License DE C1-0028187

A dermatologist is trained to diagnose and treat pediatric and adult patients with benign and malignant disorders of the skin, mouth, external genitalia, hair and nails, as well as a number of sexually transmitted diseases. The dermatologist has had additional training and experience in the diagnosis and treatment of skin cancers, melanomas, moles and other tumors of the skin, the management of contact dermatitis and other allergic and nonallergic skin disorders, and in the recognition of the skin manifestations of systemic (including internal malignancy) and infectious diseases. Dermatologists have special training in dermatopathology and in the surgical techniques used in dermatology. They also have expertise in the management of cosmetic disorders of the skin such as hair loss and scars and the skin changes associated with aging.

Dermatology

NUCC Taxonomy Code: 207N00000X

State License MO 111705

Additional State Medicaid & Healthcare Payer Identifiers

Medicaid State Provider ID

208573014 (MO)

Medicaid State Provider ID

142569001 (AR)

Commercial Insurance / Payer ID Mo Medicare

110426 (MO)

Commercial Insurance / Payer ID Ark Blue Shield

81287 (AR)

Hospital & Practice Group Affiliations

Beebe Physician Network Inc.

18947 John J Williams Hwy, Rehoboth Beach, DE 199714476

Phone: 3026440964

Secondary Practice Locations

2115 S Fremont Ave, Suite 2100

Springfield, MO 658042239

Phone: 4178207720

424 Savannah Rd

Lewes, DE 199581462

Phone: 3026454801

Practice Associates & Co-Workers

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

3 Associated Practitioners

Cassidy Hill , PA

Physician Assistant

NPI 1144981077

Physician Assistant

Patrick Duffy , PA

Physician Assistant

NPI 1780748368

Physician Assistant

Melissa Taylor , NP

Nurse Practitioner

NPI 1790118156

Nurse Practitioner

Career & Practice History Timeline

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

8 Historical Events

📍

Updated Practice Location June 10, 2025

Registered at 18947 JOHN J WILLIAMS HWY UNIT 201, REHOBOTH BEACH, DE 199714476 (Tel: 3026454801)

📍

Updated Business Mailing Address June 10, 2025

Registered at 1515 SAVANNAH RD, LEWES, DE 199581675 (Tel: 3026453499)

✅

NPI Profile Active May 09, 2013

NPI status registered as active in NPPES database

📍

Updated Practice Location May 09, 2013

Registered at 2115 S FREMONT AVE, SUITE 2100, SPRINGFIELD, MO 658042239 (Tel: 4178207720)

📍

Updated Business Mailing Address May 09, 2013

Registered at PO BOX 2580, SPRINGFIELD, MO 658012580 (Tel: 4178294620)

👤

Provider Name / Credentials Updated May 09, 2013

Recorded as DEAN MITTMAN, MD

🎓

Medical Taxonomy / Specialty Registered (Primary Specialty) May 09, 2013

Dermatology (License #111705 in MO)

🟢

Initial NPI Registration & Enumeration February 05, 2007

First registered as active Individual Practitioner in NPPES Database.

Patient & Community Reviews

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NPI Administrative Meta

NPI Number: 1043359292

Entity Type:

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

Enumeration Date: February 05, 2007

Last Update: June 10, 2025

Sole Proprietor: No

Update or Correct Profile

Mailing Address

1515 Savannah Rd

Lewes, DE 199581675

Phone: 3026453499

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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This directory listing is for informational purposes only and does not constitute medical advice, diagnosis, or physician endorsement. If you are experiencing a medical emergency, please call 911 immediately.