Brandywine Family Medicine, PA
Family Medicine in Wilmington, DE. Organization (NPI-2).
NPI number1619081627
StatusActive
Last updated in NPPESFeb 20, 2013
Details
- NPI
- 1619081627
- Entity type
- Organization (NPI-2)
- Legal business name
- Brandywine Family Medicine, PA
- Organization subpart
- No
- Enumeration date
- Aug 18, 2006
- Last updated
- Feb 20, 2013
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 207Q00000X | Family Medicine | C10003339 | DE | Yes |
Practice location
2500 Grubb RdSuite 212
Wilmington, DE 19810-4799
Phone 302-475-5000 · Fax 302-475-5200
Mailing address
2500 Grubb RdSuite 212
Wilmington, DE 19810-4799
Phone 302-475-5000 · Fax 302-475-5200
Authorized official
Valerie A. Elener
Owner
3024755000
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