OrganizationActive
First State Medical PA
NPI 1033190145 · Family Medicine Physician · Wilmington, DE
Provider details
- NPI number
- 1033190145
- Entity type
- Organization
- Primary specialty
- Family Medicine PhysicianAllopathic & Osteopathic Physicians
- Organization subpart
- No
- Authorized official
- Hugh Bonner, Ceo/President(302) 479-0555
- License
- C10004738 (DE)
Specialties & taxonomies
Allopathic & Osteopathic Physicians
Practice location
3521 Silverside Rd
Quillen Building Suite 2d1
Wilmington, DE 19810-4900
Phone: (302) 479-0555
Fax: (302) 479-5006
Approximate (ZIP-level) locationGet directions
Mailing address
3521 Silverside Rd
Wilmington, DE 19810-4900
Registry dates
- Enumerated
- 2005-11-07
- Last updated
- 2020-08-22
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.