FIRST STATE FAMILY PRACTICE INC NPI 1821172834

NPI Information

FIRST STATE FAMILY PRACTICE, INC is a family medicine in Middletown, DE. The provider is family Medicine is the medical specialty which is concerned with the total health care of the individual and the family. It is the specialty in breadth which integrates the biological, clinical, and behavioral sciences. The scope of family medicine is not limited by age, sex, organ system, or disease entity. FIRST STATE FAMILY PRACTICE, INC NPI is 1821172834. The provider is registered as an organization entity type and is a single specialty group.

The provider's business location address is:

222 CARTER DR
SUITE 101
MIDDLETOWN, DE
ZIP 19709-854
Phone: (302) 378-5494
Fax: (302) 378-1760

The provider's authorized official is John Kehagias .
The authorized official title is Physician/owner and has the following contact phone number (302) 378-5494.

The CLIA number assigned to this NPI record is 08D1009704 - physician office with a certificate type of Certificate of Waiver.

The enumeration date for this NPI number is 10/25/2006 and was last updated on 3/19/2012.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

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