Organization
QUALITY FAMILY PHYSICIANS, PA
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MICHELLE DIVENTI (OFFICE MANAGER)
(302) 235-2351
Entity
Organization
Contact information
Practice address
722 YORKLYN RD, SUITE 400, HOCKESSIN, DE 19707-8718
(302) 235-2351
(302) 235-2365
Mailing address
722 YORKLYN RD, SUITE 400, HOCKESSIN, DE 19707-8718
(302) 235-2351
(302) 235-2365
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
C10005226
DE
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
0000944501
—
DE
05
—
1000023592
—
DE
01
—
1821097114
KW NPI
DE
01
—
1861554271
EK NPI
—
05
—
1861554271
—
DE
01
—
1891794186
BK NPI
DE
01
—
CK7837
RAILROAD MEDICARE GROUP
DE
Enumeration date
09/14/2006
Last updated
11/10/2008
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