Organization
BRANDYWINE HUNDRED FAMILY MEDICINE, LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. JUDITH C WOLLMAN M.D. (PARTNER)
(302) 478-5650
Entity
Organization
Contact information
Practice address
3521 SILVERSIDE RD, SUITE 2F1, WILMINGTON, DE 19810-4900
(302) 478-5650
(302) 477-0455
Mailing address
3521 SILVERSIDE RD, SUITE 2F1, WILMINGTON, DE 19810-4900
(302) 478-5650
(302) 477-0455
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
006525282724
DE
Other
Enumeration date
05/27/2006
Last updated
08/22/2020
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