NPI 1033190145

First State Medical PA

Organisation Family Medicine Physician Wilmington, DE

Practice location

Address: 3521 Silverside Rd Quillen Building Suite 2d1, Wilmington, DE 19810-4900
Phone: (302) 479-0555
Fax: (302) 479-5006

Authorised official

Name: Hugh Bonner
Title: Ceo/President
Phone: (302) 479-0555

Registered specialties

Family Medicine Physician Primary

Allopathic & Osteopathic Physicians Taxonomy 207Q00000X Licence C10004738 (DE)

Other Family Medicine providers in Delaware →

Registry record

NPI: 1033190145
Entity type: Organization
NPI issued: 7 Nov 2005
Record last updated: 22 Aug 2020

Reproduced from NPPES, the federal provider registry. The date above is when the provider last updated their own entry, not when we fetched it - a record can be years old and still current in the registry.