GOVERNORS FAMILY PRACTICE P.A NPI 1780080770

NPI Information

GOVERNORS FAMILY PRACTICE P.A is a primary care clinic center in Dover, DE. GOVERNORS FAMILY PRACTICE P.A NPI is 1780080770. The provider is registered as an organization entity type.

The provider's business location address is:

1177A S GOVERNORS AVE
DOVER, DE
ZIP 19904-903
Phone: (302) 734-9150
Fax: (302) 380-7600

The provider's authorized official is Thuya Aye .
The authorized official title is Director and has the following contact phone number (302) 734-9150.

The CLIA number assigned to this NPI record is 08D2023113 - physician office with a certificate type of Certificate of Waiver.

The enumeration date for this NPI number is 11/18/2014 and was last updated on 11/18/2014.

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:

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