Individual provider · NPI-1

Dr. Bryan Patrick De La Cruz Villar, M.D.

Family Medicine · Milton, DE

NPI number1700900560
StatusActive
Last updated in NPPESMay 16, 2023

Details

NPI
1700900560
Entity type
Individual (NPI-1)
Name
Dr. Bryan Patrick De La Cruz Villar
Credential
M.D.
Sex
Male
Sole proprietor
No
Enumeration date
Mar 19, 2007
Certification date
May 4, 2023
Last updated
May 16, 2023

Taxonomy and licenses

Taxonomy codeDescriptionLicenseStatePrimary
207Q00000X Family MedicineC7-0002993DEYes

Practice location

18383 Hudson Rd Ste B
Milton, DE 19968-3103

Phone 302-725-3499 · Fax 302-725-3481

Mailing address

640 S State St
Mail Code 3055
Dover, DE 19901-3530

Phone 302-480-1688 · Fax 302-480-9807

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