Organization
FAMILY PRACTICE CENTER
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. JEROME E GROLL MD (MD)
(302) 645-2833
Entity
Organization
Contact information
Practice address
34445 KING STREET ROW, LEWES, DE 19958-4787
(302) 645-2833
(978) 327-7891
Mailing address
34445 KING STREET ROW, LEWES, DE 19958-4787
(302) 645-2833
(978) 327-7891
Taxonomy
Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
Primary
—
DE
Other
Enumeration date
10/16/2014
Last updated
11/07/2014
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