Individual
MRS. BEVERLY A AUSTIN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
3916 CONCORD PIKE, WILMINGTON, DE 19803-1716
(302) 477-1303
(302) 477-1014
Mailing address
3916 CONCORD PIKE, WILMINGTON, DE 19803-1716
(302) 477-1303
(302) 477-1014
Taxonomy
Speciality
Code
Description
License number
State
174400000X
Specialist
Primary
200400201521
DE
Other
Enumeration date
08/08/2006
Last updated
07/08/2007
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