Organization
MID-DELAWARE FAMILY MEDICINE, LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
CANDICE SHAH M.D. (PRESIDENT)
(302) 724-5125
Entity
Organization
Contact information
Practice address
1673 S STATE ST STE A, DOVER, DE 19901-5148
(302) 724-5125
Mailing address
1673 S STATE ST STE A, DOVER, DE 19901-5148
(302) 724-5125
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
C1-0008211
DE
Other
Enumeration date
09/06/2016
Last updated
02/21/2017
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