Individual
MRS. ANDREA L MARVIN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
M.D.
Contact information
Practice address
4512 KIRKWOOD HWY, SUITE 101, WILMINGTON, DE 19808-5123
(302) 633-6338
Mailing address
9 HALSEY DR, WILMINGTON, DE 19807-2239
(302) 661-1100
Taxonomy
Speciality
Code
Description
License number
State
208000000X
Pediatrics Physician
Primary
C1-0007766
DE
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1000039099
—
DE
Enumeration date
07/27/2006
Last updated
07/08/2007
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