# BRANDYWINE FAMILY MEDICINE, PA

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

## Provider details

- **NPI number:** 1619081627
- **Authorized official:** VALERIE A. ELENER M.D. (OWNER)
- **Authorized official phone:** (302) 475-5000

## Contact information

- **Practice address:** 2500 GRUBB RD, SUITE 212, WILMINGTON, DE 19810-4799
- **Practice address phone:** (302) 475-5000
- **Practice address fax:** (302) 475-5200
- **Mailing address:** 2500 GRUBB RD, SUITE 212, WILMINGTON, DE 19810-4799
- **Mailing address phone:** (302) 475-5000
- **Mailing address fax:** (302) 475-5200

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 207Q00000X | Family Medicine Physician | C10003339 | DE | Yes |

## Other

- **Enumeration date:** 08/18/2006
- **Last updated:** 02/20/2013
