Shore Internal Medicine Associates

NPI #1083653976 in Lewes, Delaware

Provider Information

NPI Number: 1083653976
Entity Type: Organization
Organization Name: Shore Internal Medicine Associates
Primary Specialty: Internal Medicine
Enumeration Date: Jun 6, 2006
Last Updated: Aug 22, 2020

Practice Location

Address: 1302 SAVANNAH RD
City: Lewes
State: Delaware
ZIP Code: 19958-1526
Phone: (302) 645-6644

Authorized Official

Name: DR. KEVIN P WALLACE, M.D
Title: OWNER
Phone: (302) 645-6644

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Internal Medicine	207R00000X	Primary

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