Organization
BEACON MEDICAL GROUP, P.A.
Active
Other names
Longneck Family Practice, PA
Organization subpart
No
Provider details
NPI number
Authorized official
DR. JEFFREY E HAWTOF MD (PRES)
(320) 947-9767
Entity
Organization
Contact information
Practice address
26744 JOHN J WILLIAMS HWY, OAK ORCHARD PROF SUITES #3, MILLSBORO, DE 19966-4667
(302) 947-9767
(302) 947-9558
Mailing address
26744 JOHN J WILLIAMS HWY, OAK ORCHARD PROF SUITES #3, MILLSBORO, DE 19966-4645
(302) 947-9767
(302) 947-9558
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
0001150402
—
DE
Enumeration date
09/11/2006
Last updated
02/18/2011
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