# ATLANTIC WOMENS MEDICAL SRV OF DOVER

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- **Entity:** Organization
- **Status:** Active
- **Organization subpart:** No

## Provider details

- **NPI number:** 1063696235
- **Authorized official:** MR. LEROY T BRINKLEY (ADMINISTRATOR)
- **Authorized official phone:** (302) 678-3383

## Contact information

- **Practice address:** 1643 NORTH DUPONT HIGHWAY, DOVER, DE 19901
- **Practice address phone:** (302) 678-3383
- **Practice address fax:** (302) 618-3127
- **Mailing address:** 2809 BAYNARD BLVD, WILMINGTON, DE 19802-2967
- **Mailing address phone:** (302) 678-3383
- **Mailing address fax:** (302) 678-3127

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 261QA1903X | Ambulatory Surgical Clinic/Center | 1998204553 | DE | Yes |

## Other

- **Enumeration date:** 12/24/2007
- **Last updated:** 12/24/2007