Organization
FAMILY PRACTICE CENTER, PA
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. JEROME E. GROLL M.D. (MEDICAL DOCTOR)
(302) 645-2833
Entity
Organization
Contact information
Practice address
34445 KING STREET ROW, LEWES, DE 19958-4787
(302) 645-2833
(978) 327-7891
Mailing address
34445 KING STREET ROW, LEWES, DE 19958-4787
(302) 645-2833
(302) 644-4133
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
—
DE
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
0001138402
—
DE
Enumeration date
01/16/2007
Last updated
03/25/2011
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