| Friends & Family Practice, Pa | |
|
35141 Atlantic Ave Unit 1 Millville DE 19967-6954 | |
| (302) 537-3740 | |
| (302) 537-3744 |
| Full Name | Friends & Family Practice, Pa |
|---|---|
| Speciality | Family Medicine |
| Location | 35141 Atlantic Ave, Millville, Delaware |
| Authorized Official Name and Position | Kimberly Gallagher (OWNER) |
| Authorized Official Contact | 3025373740 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Friends & Family Practice, Pa 35141 Atlantic Ave Unit 1 Millville DE 19967-6954 Ph: (302) 537-3740 | Friends & Family Practice, Pa 35141 Atlantic Ave Unit 1 Millville DE 19967-6954 Ph: (302) 537-3740 |
| NPI Number | 1790878049 |
|---|---|
| Provider Enumeration Date | 10/01/2006 |
| Last Update Date | 05/08/2013 |
| Medicare PECOS PAC ID | 9234100173 |
|---|---|
| Medicare Enrollment ID | O20040804000145 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1790878049 | NPI | - | NPPES |
| DF7727 | Other | DE | RAILROAD MEDICARE |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207Q00000X | Family Medicine | 2001107039 (Delaware) | Primary |
| Provider Name | Kimberly Mazzei Gallagher |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1043256787 PECOS PAC ID: 5092786939 Enrollment ID: I20101104000728 |
| Provider Name | Amanda Kathryn Marr |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1003223371 PECOS PAC ID: 3375865389 Enrollment ID: I20141202001767 |
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