Organization · NPI-2

Shoreview Medical, PA

Family Medicine · Milton, DE

NPI number1184737751
StatusActive
Last updated in NPPESNov 11, 2010

Details

NPI
1184737751
Entity type
Organization (NPI-2)
Legal business name
Shoreview Medical, PA
Organization subpart
No
Enumeration date
Aug 16, 2006
Last updated
Nov 11, 2010

Taxonomy and licenses

Taxonomy codeDescriptionLicenseStatePrimary
207Q00000X Family Medicine2002106107DEYes

Practice location

28312 Lewes-Georgetown Highway
Cool Spring Office Park
Milton, DE 19968

Phone 302-684-0990 · Fax 302-684-0991

Mailing address

28312 Lewes-Georgetown Highway
Cool Spring Office Park
Milton, DE 19968

Phone 302-684-0990 · Fax 302-684-0991

Authorized official

Uday Jani
President
3026840990

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