Mid-atlantic Family Practice | |
20251 John J Williams Hwy Lewes DE 19958-4314 | |
(302) 644-6860 | |
(302) 644-6872 |
Full Name | Mid-atlantic Family Practice |
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Speciality | Family Medicine |
Location | 20251 John J Williams Hwy, Lewes, Delaware |
Authorized Official Name and Position | Jeffrey J Heckert (PRESIDENT) |
Authorized Official Contact | 3026446860 |
Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
Mailing Address | Practice Location Address |
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Mid-atlantic Family Practice 20251 John J Williams Hwy Lewes DE 19958-4314 Ph: (302) 644-6860 | Mid-atlantic Family Practice 20251 John J Williams Hwy Lewes DE 19958-4314 Ph: (302) 644-6860 |
NPI Number | 1205839164 |
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Provider Enumeration Date | 05/24/2005 |
Last Update Date | 06/10/2022 |
Medicare PECOS PAC ID | 2466354188 |
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Medicare Enrollment ID | O20040123000145 |
Identifier | Type | State | Issuer |
---|---|---|---|
1205839164 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
207Q00000X | Family Medicine | 2003109879 (Delaware) | Primary |
Provider Name | Jeffrey J Heckert |
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Provider Type | Practitioner - Family Practice |
Provider Identifiers | NPI Number: 1386649390 PECOS PAC ID: 1355243072 Enrollment ID: I20040123000167 |
Provider Name | Mark A Sordi |
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Provider Type | Practitioner - Family Practice |
Provider Identifiers | NPI Number: 1083617047 PECOS PAC ID: 7618879339 Enrollment ID: I20040123000206 |
Provider Name | Carmelo V Disalvo |
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Provider Type | Practitioner - Family Practice |
Provider Identifiers | NPI Number: 1902078074 PECOS PAC ID: 3779659982 Enrollment ID: I20080911000239 |
Provider Name | Brian A Caswell-monack |
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Provider Type | Practitioner - Family Practice |
Provider Identifiers | NPI Number: 1164733291 PECOS PAC ID: 0042458077 Enrollment ID: I20131206000439 |
Provider Name | Erin E O'connor Lavin |
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Provider Type | Practitioner - Family Practice |
Provider Identifiers | NPI Number: 1912115429 PECOS PAC ID: 5395897227 Enrollment ID: I20160815000082 |
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