Organization
SOUTHERN DELAWARE MEDICAL GROUP, PA
Active
Organization subpart
No
Provider details
NPI number
Authorized official
OLGA SAMARY GONZALEZ (PRACTICE MANAGER)
(302) 725-2040
Entity
Organization
Contact information
Practice address
100 SILICATO PKWY STE 301, MILFORD, DE 19963-1272
(302) 725-2040
(855) 403-0778
Mailing address
PO BOX 337, MILFORD, DE 19963-0337
(302) 725-2040
(855) 403-0778
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
C20006015
DE
Other
Enumeration date
07/18/2006
Last updated
09/16/2021
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