Organization · NPI-2

Abigail Family Practice, LLC

Family Medicine, Adult Medicine · Newark, DE

NPI number1669098836
StatusActive
Last updated in NPPESJun 23, 2020

Details

NPI
1669098836
Entity type
Organization (NPI-2)
Legal business name
Abigail Family Practice, LLC
Organization subpart
No
Enumeration date
Jun 23, 2020
Certification date
Jun 23, 2020
Last updated
Jun 23, 2020

Taxonomy and licenses

Taxonomy codeDescriptionLicenseStatePrimary
207QA0505X Family Medicine, Adult Medicine––Yes

Practice location

412 Suburban Dr
Newark, DE 19711-3564

Phone 302-738-3770 · Fax 302-738-4749

Mailing address

Po Box 147
Newark, DE 19715-0147

Phone 302-738-3770 · Fax 302-738-4749

Authorized official

Luke Horah
Office Manager
4435536114

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