Beacon Medical Group, P.a. | |
26744 John J Williams Hwy Oak Orchard Prof Suites #3 Millsboro DE 19966-4667 | |
(302) 947-9767 | |
(302) 947-9558 |
Full Name | Beacon Medical Group, P.a. |
---|---|
Speciality | Family Medicine |
Location | 26744 John J Williams Hwy, Millsboro, Delaware |
Authorized Official Name and Position | Jeffrey E Hawtof (PRES) |
Authorized Official Contact | 3209479767 |
Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
Mailing Address | Practice Location Address |
---|---|
Beacon Medical Group, P.a. 26744 John J Williams Hwy Oak Orchard Prof Suites #3 Millsboro DE 19966-4645 Ph: (302) 947-9767 | Beacon Medical Group, P.a. 26744 John J Williams Hwy Oak Orchard Prof Suites #3 Millsboro DE 19966-4667 Ph: (302) 947-9767 |
NPI Number | 1689778714 |
---|---|
Provider Enumeration Date | 09/11/2006 |
Last Update Date | 02/18/2011 |
Identifier | Type | State | Issuer |
---|---|---|---|
1689778714 | NPI | - | NPPES |
0001150402 | Medicaid | DE |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
207Q00000X | Family Medicine | (* (Not Available)) | Primary |
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