| Family Medicine Of Middletown, Pa. | |
|
209 E Main St Ste 6 Middletown DE 19709-1449 | |
| (302) 376-6761 | |
| Not Available |
| Full Name | Family Medicine Of Middletown, Pa. |
|---|---|
| Speciality | Family Medicine |
| Location | 209 E Main St Ste 6, Middletown, Delaware |
| Authorized Official Name and Position | Mhaidi Elmedkhar (OWNER) |
| Authorized Official Contact | 3023766761 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Family Medicine Of Middletown, Pa. 209 E Main St Ste 6 Middletown DE 19709-1449 Ph: () - | Family Medicine Of Middletown, Pa. 209 E Main St Ste 6 Middletown DE 19709-1449 Ph: (302) 376-6761 |
| NPI Number | 1285826131 |
|---|---|
| Provider Enumeration Date | 08/15/2007 |
| Last Update Date | 02/16/2012 |
| Medicare PECOS PAC ID | 5799871364 |
|---|---|
| Medicare Enrollment ID | O20071011000526 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1285826131 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207Q00000X | Family Medicine | C1-0005462 (Delaware) | Primary |
| Provider Name | Mhaidi A Elmedkhar |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1760461859 PECOS PAC ID: 3870502354 Enrollment ID: I20071128000185 |
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