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Organization

DOVER FAMILY PHYSICIANS PA

Active
Organization subpart
No

Provider details

NPI number
Authorized official
DR. JOSEPH RUBACKY D.O. (MANAGING PARTNER)
(302) 734-7796
Entity
Organization

Contact information

Practice address
1342 S GOVERNORS AVE, DOVER, DE 19904-4804
(302) 734-2500
(302) 734-7758
Mailing address
1342 S GOVERNORS AVE, DOVER, DE 19904-4804
(302) 734-2500
(302) 734-7758

Taxonomy

Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
043805
MEDICARE PTAN
DE
Enumeration date
07/06/2006
Last updated
09/19/2019
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