Organization
GARY M PIEKAREK MD LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. GARY M PIEKAREK M.D. (OWNER/MANAGER)
(302) 424-2388
Entity
Organization
Contact information
Practice address
200 KINGS HWY, SUITE 4, MILFORD, DE 19963-1843
(302) 424-2388
(302) 424-2347
Mailing address
200 KINGS HWY, SUITE 4, MILFORD, DE 19963-1843
(302) 424-2388
(302) 424-2347
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
C10003356
DE
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
0000223501
—
DE
01
—
26693
COVENTRY HEALTHCARE OF DE
DE
01
—
4197970
AETNA
DE
Enumeration date
06/30/2010
Last updated
06/30/2010
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