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Organization

DEPARTMENT OF VETERANS AFFAIRS

Active
Organization subpart
No

Provider details

NPI number
Authorized official
STEPHANIE MARDON (CHIEF BUSINESS OFFICER)
(202) 382-2500
Entity
Organization

Contact information

Practice address
1601 KIRKWOOD HWY, WILMINGTON, DE 19805-4917
(302) 994-2511
Mailing address
1601 KIRKWOOD HWY, WILMINGTON, DE 19805-4917
(302) 994-2511

Taxonomy

Speciality
Code
Description
License number
State
2865M2000X
Military General Acute Care Hospital
Primary
49665
PA

Other

Enumeration date
06/09/2016
Last updated
06/09/2016
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