| Family Practice Center, Pa | |
|
34445 King Street Row Lewes DE 19958-4787 | |
| (302) 645-2833 | |
| (978) 327-7891 |
| Full Name | Family Practice Center, Pa |
|---|---|
| Speciality | Family Medicine |
| Location | 34445 King Street Row, Lewes, Delaware |
| Authorized Official Name and Position | Jerome E. Groll (MEDICAL DOCTOR) |
| Authorized Official Contact | 3026452833 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Family Practice Center, Pa 34445 King Street Row Lewes DE 19958-4787 Ph: (302) 645-2833 | Family Practice Center, Pa 34445 King Street Row Lewes DE 19958-4787 Ph: (302) 645-2833 |
| NPI Number | 1245381300 |
|---|---|
| Provider Enumeration Date | 01/16/2007 |
| Last Update Date | 03/25/2011 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1245381300 | NPI | - | NPPES |
| 0001138402 | Medicaid | DE |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207Q00000X | Family Medicine | (Delaware) | Primary |
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