| Gary M Piekarek Md Llc | |
|
200 Kings Hwy Suite 4 Milford DE 19963-1843 | |
| (302) 424-2388 | |
| (302) 424-2347 |
| Full Name | Gary M Piekarek Md Llc |
|---|---|
| Speciality | Family Medicine |
| Location | 200 Kings Hwy, Milford, Delaware |
| Authorized Official Name and Position | Gary M Piekarek (OWNER/MANAGER) |
| Authorized Official Contact | 3024242388 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Gary M Piekarek Md Llc 200 Kings Hwy Suite 4 Milford DE 19963-1843 Ph: (302) 424-2388 | Gary M Piekarek Md Llc 200 Kings Hwy Suite 4 Milford DE 19963-1843 Ph: (302) 424-2388 |
| NPI Number | 1154632560 |
|---|---|
| Provider Enumeration Date | 06/30/2010 |
| Last Update Date | 06/30/2010 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1154632560 | NPI | - | NPPES |
| 26693 | Other | DE | COVENTRY HEALTHCARE OF DE |
| 0000223501 | Medicaid | DE | |
| 4197970 | Other | DE | AETNA |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207Q00000X | Family Medicine | C10003356 (Delaware) | Primary |
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