| Family Medical Centre PA | |
|
111 Wolf Creek Blvd Ste 2 Dover DE 19901-4969 | |
| (302) 678-0510 | |
| (302) 678-2864 |
| Full Name | Family Medical Centre PA |
|---|---|
| Speciality | Family Medicine |
| Location | 111 Wolf Creek Blvd Ste 2, Dover, Delaware |
| Authorized Official Name and Position | Kenny Khoa Vu (OWNER) |
| Authorized Official Contact | 3026780510 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Family Medical Centre PA 111 Wolf Creek Blvd Ste 2 Dover DE 19901-4969 Ph: (302) 983-4968 | Family Medical Centre PA 111 Wolf Creek Blvd Ste 2 Dover DE 19901-4969 Ph: (302) 678-0510 |
| NPI Number | 1215120316 |
|---|---|
| Provider Enumeration Date | 08/22/2007 |
| Last Update Date | 06/21/2024 |
| Certification Date | 06/21/2024 |
| Medicare PECOS PAC ID | 4385732262 |
|---|---|
| Medicare Enrollment ID | O20071109000288 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1215120316 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207Q00000X | Family Medicine | C10008350 (Delaware) | Primary |
| Provider Name | Andrea K Vu |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1295746246 PECOS PAC ID: 5294760856 Enrollment ID: I20051003000875 |
| Provider Name | Kenny K Vu |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1902930811 PECOS PAC ID: 1658469531 Enrollment ID: I20071109000299 |
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