# SOUTHSIDE FAMILY PRACTICE, P.A.

> Is this information incorrect? This page shows public data from NPPES. Update your record in NPPES and this page will update automatically within 7 days. [Update your NPPES record](https://nppes.cms.hhs.gov)

- **Entity:** Organization
- **Status:** Active
- **Other names:** SouthSide Family Medicine
- **Organization subpart:** No

## Provider details

- **NPI number:** 1952489510
- **Authorized official:** DR. ANDREW A. WILLET M.D. (PRESIDENT)
- **Authorized official phone:** (302) 735-1880

## Contact information

- **Practice address:** 230 BEISER BLVD, SUITE 200, DOVER, DE 19904-7793
- **Practice address phone:** (302) 735-1880
- **Practice address fax:** (302) 735-1884
- **Mailing address:** 230 BEISER BLVD, SUITE 200, DOVER, DE 19904-7793
- **Mailing address phone:** (302) 735-1880
- **Mailing address fax:** (302) 735-1884

## Taxonomy

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

## Other

- **Enumeration date:** 11/01/2006
- **Last updated:** 08/22/2020