First State Medical PA
NPI #1033190145 in Wilmington, Delaware
Provider Information
- NPI Number
- 1033190145
- Entity Type
- Organization
- Organization Name
- First State Medical PA
- Primary Specialty
- Family Medicine
- Enumeration Date
- Nov 7, 2005
- Last Updated
- Aug 22, 2020
Practice Location
- Address
- 3521 SILVERSIDE RD
- Address 2
- QUILLEN BUILDING SUITE 2D1
- City
- Wilmington
- State
- Delaware
- ZIP Code
- 19810-4900
- Phone
- (302) 479-0555
Authorized Official
- Name
- DR. HUGH BONNER III, M.D.
- Title
- CEO/PRESIDENT
- Phone
- (302) 479-0555
Specialties & Taxonomy Codes
| Specialty |
|---|
| Family Medicine |
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