| Abigail Family Medicine Llc | |
|
412 Suburban Dr Newark DE 19711-3564 | |
| (302) 738-3770 | |
| (302) 738-4749 |
| Full Name | Abigail Family Medicine Llc |
|---|---|
| Speciality | Family Medicine |
| Location | 412 Suburban Dr, Newark, Delaware |
| Authorized Official Name and Position | James Clark Horah (BUSINESS MANAGER) |
| Authorized Official Contact | 3027383770 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Abigail Family Medicine Llc 412 Suburban Dr Newark DE 19711-3564 Ph: (302) 738-3770 | Abigail Family Medicine Llc 412 Suburban Dr Newark DE 19711-3564 Ph: (302) 738-3770 |
| NPI Number | 1922134899 |
|---|---|
| Provider Enumeration Date | 02/26/2007 |
| Last Update Date | 10/13/2016 |
| Medicare PECOS PAC ID | 7012811623 |
|---|---|
| Medicare Enrollment ID | O20031125000460 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1922134899 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207Q00000X | Family Medicine | C20005526 (Delaware) | Primary |
| Provider Name | Christine Edith Horah |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1760484018 PECOS PAC ID: 8729982335 Enrollment ID: I20031125000553 |
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