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Organization

DELAWARE FAMILY MEDICINE, LLC

Active
Organization subpart
No

Provider details

NPI number
Authorized official
GALICANO F INGUITO JR. MD (OWNER/PHYSICIAN)
(302) 473-1646
Entity
Organization

Contact information

Practice address
15 OMEGA DR BLDG K, SUITE 3, NEWARK, DE 19713-2057
(302) 743-1646
Mailing address
15 OMEGA DR BLDG K, SUITE 3, NEWARK, DE 19713-2057
(302) 743-1646

Taxonomy

Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
C10003906
DE

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
1265446934
DE
Enumeration date
01/13/2012
Last updated
01/13/2012
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