PROVIDER PASSPORT INC.

LEWES, DE
NPI1174366124
Entity TypeOrganization
Authorized ContactHARMAN DHAWAN
President
917-456-9261
Organization Subpart ?No
Primary Taxonomy302R00000X Health Maintenance Organization
Enumeration Date2024-06-17
Last Update Date2024-06-17
Business Address
PROVIDER PASSPORT INC.
16192 COASTAL HWY
LEWES, DE 19958-3608
Phone number: 917-456-9261
Mailing Address
PROVIDER PASSPORT INC.
16192 COASTAL HWY
LEWES, DE 19958-3608
Phone number: 917-456-9261