First State Family Practice, Inc

NPI 1821172834 - Family Medicine - 207Q00000X

NPI Details
NPI 1821172834
Enumeration Date 10/25/2006
Last Updated 03/19/2012
Entity Type Healthcare Provider
Active Over 10 years ago
Authorized Information
Name JOHN JOHN
Position PHYSICIAN/OWNER
Phone (302) 378-5494
Fax (302) 378-1760
Practice Location
222 CARTER DR
SUITE 101
MIDDLETOWN DE, 19709-5854, US
Phone (302) 378-5494
Fax (302) 378-1760
Business Location
222 CARTER DR
SUITE 101
MIDDLETOWN DE, 19709-5854, US
Phone (302) 378-5494
Fax (302) 378-1760
Toxanomy
Taxonomy Code 207Q00000X
License State Delaware
License Number C10006722
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According to our database, First State Family Practice, Inc NPI is 1821172834, taxonomy code is 207Q00000X and license number is C10006722, license state is located at Delaware. First State Family Practice, Inc physically located at 222 Carter Dr, Middletown DE, 19709-5854. NPI Number 1033115704 has the healthcare provider type.

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1821172834 NPI number is provided on an as is basis without warranty of any kind. 1821172834 is maintained by the National Plan & Provider Enumeration System. The contents of First State Family Practice, Inc are for informational purposes only.