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MID-ATLANTIC FAMILY PRACTICE NPI 1205839164


NPI Information

NPI: 1205839164
Provider Name: MID-ATLANTIC FAMILY PRACTICE
Classification: Family Medicine - 207Q00000X
Entity Type: Organization

CLIA Number: 08D1018161

Address:
20251 JOHN J WILLIAMS HWY
LEWES, DE
ZIP 19958
Phone: (302) 644-6860
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MID-ATLANTIC FAMILY PRACTICE is a family medicine in Lewes, 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. MID-ATLANTIC FAMILY PRACTICE NPI is 1205839164. The provider is registered as an organization entity type and is a single specialty group.

The provider's business location address is:

20251 JOHN J WILLIAMS HWY
LEWES, DE
ZIP 19958-314
Phone: (302) 644-6860
Fax: (302) 644-6872

The provider's authorized official is Jeffrey J Heckert .
The authorized official title is President and has the following contact phone number (302) 644-6860.

The CLIA number assigned to this NPI record is 08D1018161 - physician office with a certificate type of Certificate of Waiver.

The enumeration date for this NPI number is 5/24/2005 and was last updated on 6/10/2022.


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:

No.Taxonomy CodeTaxonomy ClasificationTaxonomy SpecializationLicense NumberLicense StatePrimary
1207Q00000XFamily Medicine2003109879DELAWAREYes

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 4/28/2024

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