# FOUNDATION MEDICAL SERVICES PA

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

## Provider details

- **NPI number:** 1710249537
- **Authorized official:** MICHAEL GONDOLFO DC (PRESIDENT)
- **Authorized official phone:** (302) 730-1101

## Contact information

- **Practice address:** 230 BEISER BLVD, SUITE 101, DOVER, DE 19904-7793
- **Practice address phone:** (302) 730-1101
- **Mailing address:** 230 BEISER BLVD, SUITE 101, DOVER, DE 19904-7793
- **Mailing address phone:** (302) 730-1101

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 111N00000X | Chiropractor | F1-0000323 | DE | — |
| 207Q00000X | Family Medicine Physician | C2-0005927 | DE | Yes |

## Other

- **Enumeration date:** 06/08/2012
- **Last updated:** 10/25/2012