Provider Demographics
NPI:1457437832
Name:SINGSON MEDICAL GROUP PA
Entity type:Organization
Organization Name:SINGSON MEDICAL GROUP PA
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PRESIDENT
Authorized Official - Prefix:DR
Authorized Official - First Name:DOMINGO
Authorized Official - Middle Name:C
Authorized Official - Last Name:SINGSON
Authorized Official - Suffix:
Authorized Official - Credentials:MD
Authorized Official - Phone:302-421-8282
Mailing Address - Street 1:1021 GILPIN AVENUE
Mailing Address - Street 2:SUITE 104
Mailing Address - City:WILMINGTON
Mailing Address - State:DE
Mailing Address - Zip Code:19806-3271
Mailing Address - Country:US
Mailing Address - Phone:302-421-8282
Mailing Address - Fax:302-428-0851
Practice Address - Street 1:1021 GILPIN AVENUE
Practice Address - Street 2:SUITE 104
Practice Address - City:WILMINGTON
Practice Address - State:DE
Practice Address - Zip Code:19806
Practice Address - Country:US
Practice Address - Phone:302-421-8282
Practice Address - Fax:302-428-0851
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2006-10-28
Last Update Date:2020-08-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes261QP2300XAmbulatory Health Care FacilitiesClinic/CenterPrimary Care
Provider Identifiers
StateIdentifier IDID TypeIssuer
DE0000867002Medicaid
G00657Medicare ID - Type Unspecified