# FIRST CHOICE MEDICAL AND GASTROENTEROLOGY ASSOCIATION

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- **Entity:** Organization
- **Status:** Active
- **Other names:** First Choice Medical and Gastroenterology
- **Organization subpart:** No

## Provider details

- **NPI number:** 1285176529
- **Authorized official:** MRS. VICKI HARDISTY NP (PRESIDENT)
- **Authorized official phone:** (302) 629-5553

## Contact information

- **Practice address:** 904 MIDDLEFORD RD, SEAFORD, DE 19973-3604
- **Practice address phone:** (302) 629-5553
- **Practice address fax:** (302) 536-7009
- **Mailing address:** 904 MIDDLEFORD RD, SEAFORD, DE 19973-3604
- **Mailing address phone:** (302) 629-5553
- **Mailing address fax:** (302) 536-7009

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 207RG0100X | Gastroenterology Physician | C10001972 | DE | Yes |
| 363LF0000X | Family Nurse Practitioner | LG0000610 | DE | — |

## Other

- **Enumeration date:** 11/16/2016
- **Last updated:** 11/16/2016