| Heritage Medical Associates, P.a. | |
|
2601 Annand Dr Ste 4 Heritage Professional Center Wilmington DE 19808-3719 | |
| (302) 998-3334 | |
| Not Available |
| Full Name | Heritage Medical Associates, P.a. |
|---|---|
| Speciality | Family Medicine |
| Location | 2601 Annand Dr Ste 4, Wilmington, Delaware |
| Authorized Official Name and Position | John Victor Fenice (OWNER) |
| Authorized Official Contact | 3029983336 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Heritage Medical Associates, P.a. 2601 Annand Dr Ste 4 Heritage Professional Center Wilmington DE 19808-3719 Ph: (302) 998-3334 | Heritage Medical Associates, P.a. 2601 Annand Dr Ste 4 Heritage Professional Center Wilmington DE 19808-3719 Ph: (302) 998-3334 |
| NPI Number | 1609073493 |
|---|---|
| Provider Enumeration Date | 06/27/2007 |
| Last Update Date | 03/16/2010 |
| Medicare PECOS PAC ID | 6204916067 |
|---|---|
| Medicare Enrollment ID | O20080107000107 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1609073493 | NPI | - | NPPES |
| 1033138169 | Other | PERSONAL NPI NUMBER |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207Q00000X | Family Medicine | C1-00007714 (Delaware) | Primary |
| Provider Name | John V Fenice |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1033138169 PECOS PAC ID: 9537173786 Enrollment ID: I20060130000666 |
| Provider Name | Mary A High |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1457350019 PECOS PAC ID: 1557430014 Enrollment ID: I20080523000223 |
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