| Beacon Medical Group, P.a. | |
|
26744 John J Williams Hwy Oak Orchard Prof Suites #3 Millsboro DE 19966-4667 | |
| (302) 947-9767 | |
| (302) 947-9558 |
| Full Name | Beacon Medical Group, P.a. |
|---|---|
| Speciality | Family Medicine |
| Location | 26744 John J Williams Hwy, Millsboro, Delaware |
| Authorized Official Name and Position | Jeffrey E Hawtof (PRES) |
| Authorized Official Contact | 3209479767 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Beacon Medical Group, P.a. 26744 John J Williams Hwy Oak Orchard Prof Suites #3 Millsboro DE 19966-4645 Ph: (302) 947-9767 | Beacon Medical Group, P.a. 26744 John J Williams Hwy Oak Orchard Prof Suites #3 Millsboro DE 19966-4667 Ph: (302) 947-9767 |
| NPI Number | 1689778714 |
|---|---|
| Provider Enumeration Date | 09/11/2006 |
| Last Update Date | 02/18/2011 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1689778714 | NPI | - | NPPES |
| 0001150402 | Medicaid | DE |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207Q00000X | Family Medicine | (* (Not Available)) | Primary |
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