# BRANDYWINE RHEUMATOLOGY, LLC

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

## Provider details

- **NPI number:** 1073116133
- **Authorized official:** ERIC RUSSELL MD (OWNER)
- **Authorized official phone:** (302) 866-0001

## Contact information

- **Practice address:** 1601 MILLTOWN RD STE 15, WILMINGTON, DE 19808-4084
- **Practice address phone:** (302) 866-0001
- **Mailing address:** 1601 MILLTOWN RD STE 15, WILMINGTON, DE 19808-4084
- **Mailing address phone:** (302) 866-0001

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 207RR0500X | Rheumatology Physician | — | NULL | Yes |
| 207RR0500X | Rheumatology Physician | — | — | Yes |

## Other

- **Enumeration date:** 11/19/2020
- **Last updated:** 11/19/2020