Organization
WILMINGTON OTOLARYNGOLOGY ASSOCIATES, PA
Active
Organization subpart
No
Provider details
NPI number
Authorized official
WILLIAM L. MEDFORD MD (PRES)
(302) 658-0404
Entity
Organization
Contact information
Practice address
2300 PENNSYLVANIA AVE, SUITE 2A, WILMINGTON, DE 19806-1392
(302) 658-0404
Mailing address
2300 PENNSYLVANIA AVE, SUITE 2A, WILMINGTON, DE 19806-1392
Taxonomy
Speciality
Code
Description
License number
State
207Y00000X
Otolaryngology Physician
Primary
1989016985
DE
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
000082102
—
DE
Enumeration date
06/17/2006
Last updated
12/16/2015
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