OrganizationActive
Laurel Medical Group, LLC
NPI 1477640696 · Internal Medicine Physician · Laurel, DE
Provider details
- NPI number
- 1477640696
- Entity type
- Organization
- Primary specialty
- Internal Medicine PhysicianAllopathic & Osteopathic Physicians
- Organization subpart
- No
- Authorized official
- Antonio Pedro, Co-Owner(302) 875-7753
- License
- C1-0004999 (DE)
Specialties & taxonomies
Allopathic & Osteopathic Physicians
Allopathic & Osteopathic Physicians
Practice location
1124 S Central Ave
Laurel, DE 19956-1418
Phone: (302) 875-7753
Approximate (ZIP-level) locationGet directions
Mailing address
66 Rivers End Dr
Seaford, DE 19973-8011
Registry dates
- Enumerated
- 2006-10-09
- Last updated
- 2025-09-11
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.