Organization · NPI-2

Gary M Piekarek MD LLC

Family Medicine · Milford, DE

NPI number1154632560
StatusActive
Last updated in NPPESJun 30, 2010

Details

NPI
1154632560
Entity type
Organization (NPI-2)
Legal business name
Gary M Piekarek MD LLC
Organization subpart
No
Enumeration date
Jun 30, 2010
Last updated
Jun 30, 2010

Taxonomy and licenses

Taxonomy codeDescriptionLicenseStatePrimary
207Q00000X Family MedicineC10003356DEYes

Practice location

200 Kings Hwy
Suite 4
Milford, DE 19963-1843

Phone 302-424-2388 · Fax 302-424-2347

Mailing address

200 Kings Hwy
Suite 4
Milford, DE 19963-1843

Phone 302-424-2388 · Fax 302-424-2347

Authorized official

Gary M Piekarek
Owner/Manager
3024242388

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