# FAMILY PRACTICE CENTER, PA

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- **Entity:** Organization
- **Status:** Active
- **Organization subpart:** No

## Provider details

- **NPI number:** 1245381300
- **Authorized official:** DR. JEROME E. GROLL M.D. (MEDICAL DOCTOR)
- **Authorized official phone:** (302) 645-2833

## Contact information

- **Practice address:** 34445 KING STREET ROW, LEWES, DE 19958-4787
- **Practice address phone:** (302) 645-2833
- **Practice address fax:** (978) 327-7891
- **Mailing address:** 34445 KING STREET ROW, LEWES, DE 19958-4787
- **Mailing address phone:** (302) 645-2833
- **Mailing address fax:** (302) 644-4133

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 207Q00000X | Family Medicine Physician | — | DE | Yes |

## Other

- **Enumeration date:** 01/16/2007
- **Last updated:** 03/25/2011