Shore Community Medical LLC

NPI #1740561778 in Rehoboth Beach, Delaware

Provider Information

NPI Number: 1740561778
Entity Type: Organization
Organization Name: Shore Community Medical LLC
Primary Specialty: Internal Medicine
Enumeration Date: Sep 4, 2011
Last Updated: Jan 12, 2012

Practice Location

Address: 18947 JOHN J WILLIAMS HWY
Address 2: SUITE 306
City: Rehoboth Beach
State: Delaware
ZIP Code: 19971-4474
Phone: (302) 827-4365

Authorized Official

Name: DR. THOMAS FRANCIS KELLY, M.D.
Title: MEMBER
Phone: (302) 827-4365

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Internal Medicine	207R00000X	Primary

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