Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of October 4, 2026.

Fenwick Medical Center PA

Organization Family Medicine Physician · NPI 1396780664

Fenwick Medical Center PA provides Family Medicine Physician services in Fenwick Island, Delaware. Licensed in Delaware. Registered with an NPI since 2006.

Licensed in
DE
In the registry since
2006
Specialties on file
2
What do these letters mean?
PA — Professional association
A form of business registration, not a clinical qualification.

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Practice location Address checks out

1400 Coastal Hwy
Fenwick Island, DE 19944
Phone: (302) 581-0458
Fax: (302) 581-0460
Show map & directions

Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Primary Care Clinic/Center (primary) Taxonomy 261QP2300X · Licence C10001802 (DE)
Family Medicine Physician Taxonomy 207Q00000X

Record details

NPI number1396780664
Entity typeOrganization (Type 2)
Organization subpartNo
Authorized official Nicholas Borodulia — Practice Owner · (302) 581-0458
NPI enumeratedJune 19, 2006
Last updated in NPPESSeptember 24, 2025
Certification dateSeptember 24, 2025
Mailing address12036 S Piney Point Rd, Bishopville, MD 21813-1542

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