Organization
CENTRAL DELAWARE FAMILY MEDICINE PA
Active
Organization subpart
No
Provider details
NPI number
Authorized official
THERESA P LITTLE M.D. (PHYSICIAN)
(302) 735-1616
Entity
Organization
Contact information
Practice address
1001 S BRADFORD ST, SUITE 4, DOVER, DE 19904-4153
(302) 735-1616
(302) 735-1617
Mailing address
1001 S BRADFORD ST, SUITE 4, DOVER, DE 19904-4153
(302) 735-1616
(302) 735-1617
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
2005202181
DE
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
0000689602
—
DE
01
—
CC8811
RAILROAD MEDICARE
DE
Enumeration date
08/06/2006
Last updated
01/21/2014
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