Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.

Fenwick Medical Center PA

Organization Family Medicine Physician · NPI 1396780664

Fenwick Medical Center PA is a Family Medicine Physician 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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