Family Practice Center, PA

NPI #1245381300 in Lewes, Delaware

Provider Information

NPI Number: 1245381300
Entity Type: Organization
Organization Name: Family Practice Center, PA
Primary Specialty: Family Medicine
Enumeration Date: Jan 16, 2007
Last Updated: Mar 25, 2011

Practice Location

Address: 34445 KING STREET ROW
City: Lewes
State: Delaware
ZIP Code: 19958-4787
Phone: (302) 645-2833

Authorized Official

Name: DR. JEROME E. GROLL, M.D.
Title: MEDICAL DOCTOR
Phone: (302) 645-2833

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Family Medicine	207Q00000X	Primary

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