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NPI Code Detail

MEDICARE: MID-ATLANTIC FAMILY PRACTICE

MEDICARE: MID-ATLANTIC FAMILY PRACTICE
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
1207Q00000XFamily Medicine Physician2003109879DE

General Provider Information

NPI Number : 1205839164
Entity Type Code : Organization
Provider Name (Legal Business Name) : MID-ATLANTIC FAMILY PRACTICE
Provider Business Mailing Address
First Line : 20251 JOHN J WILLIAMS HWY
Second Line :
City : LEWES
State : DE
Zip : 19958-4314
Country : US
Telephone Number : 302-644-6860
Fax Number : 302-644-6872
Provider Business Practice Location Address
First Line : 20251 JOHN J WILLIAMS HWY
Second Line :
City : LEWES
State : DE
Zip : 19958-4314
Country : US
Telephone Number : 302-644-6860
Fax Number : 302-644-6872
Authorized Official
Title or Position : PRESIDENT
Name : DR. JEFFREY J HECKERT
Credential : MD
Telephone Number : 302-644-6860
Provider Enumeration Date : 05/24/2005
Last Update Date : 06/10/2022

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Directions to “MID-ATLANTIC FAMILY PRACTICE ” Practice Location

Language Start Address Practice Location
These directions are for planning purposes only. You may find that construction projects, traffic, or other events may cause road conditions to differ from the map results.

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