Organization · NPI-2

302 Family Medicine, LLC

Family Medicine · Milford, DE

NPI number1871220079
StatusActive
Last updated in NPPESAug 7, 2022

Details

NPI
1871220079
Entity type
Organization (NPI-2)
Legal business name
302 Family Medicine, LLC
Organization subpart
No
Enumeration date
Aug 7, 2022
Certification date
Aug 7, 2022
Last updated
Aug 7, 2022

Taxonomy and licenses

Taxonomy codeDescriptionLicenseStatePrimary
207Q00000X Family Medicine––Yes

Practice location

306 Polk Ave
Milford, DE 19963-1818

Phone 302-300-3514

Mailing address

322 Robbins Rd
Frederica, DE 19946-1955

Phone 717-644-2648

Authorized official

Michelle Bretzius
Physician
7176442648

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