# BRANDYWINE OBGYN, PA

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

## Provider details

- **NPI number:** 1962682849
- **Authorized official:** MICHAEL B COOKSEY DO (PRESIDENT)
- **Authorized official phone:** (302) 477-1375

## Contact information

- **Practice address:** 3519 SILVERSIDE RD, SUITE 204 RIDGELY BLDG, WILMINGTON, DE 19810-4909
- **Practice address phone:** (302) 477-1375
- **Practice address fax:** (302) 477-1383
- **Mailing address:** 3519 SILVERSIDE RD, SUITE 204 RIDGELY BLDG, WILMINGTON, DE 19810-4909
- **Mailing address phone:** (302) 477-1375
- **Mailing address fax:** (302) 477-1383

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 207V00000X | Obstetrics & Gynecology Physician | C20005691 | DE | Yes |

## Other

- **Enumeration date:** 11/08/2007
- **Last updated:** 12/08/2008
