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FAMILY PRACTICE CENTER PA NPI 1245381300


NPI Information

NPI: 1245381300
Provider Name: FAMILY PRACTICE CENTER, PA
Classification: Family Medicine - 207Q00000X
Entity Type: Organization
Address:
34445 KING STREET ROW
LEWES, DE
ZIP 19958
Phone: (302) 645-2833
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FAMILY PRACTICE CENTER, PA 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. FAMILY PRACTICE CENTER, PA NPI is 1245381300. The provider is registered as an organization entity type and is a single specialty group.

The provider's business location address is:

34445 KING STREET ROW
LEWES, DE
ZIP 19958-787
Phone: (302) 645-2833
Fax: (978) 327-7891

The provider's authorized official is Jerome E. Groll .
The authorized official title is Medical Doctor and has the following contact phone number (302) 645-2833.

The enumeration date for this NPI number is 1/16/2007 and was last updated on 3/25/2011.


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 MedicineDELAWAREYes

Other Identifiers

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

No.Other Provider IdentifierOther Provider Identifier TypeOther Provider Identifier StateOther Provider Identifier Issuer
10001138402MEDICAIDDELAWARE

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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