Individual
DR. ILENE BOUDREAUX
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
M.D.
Contact information
Practice address
3521 SILVERSIDE RD, 1F QUILLEN BLDG, WILMINGTON, DE 19810-4900
(302) 479-5505
(302) 478-2637
Mailing address
3521 SILVERSIDE RD, 1F QUILLEN BLDG, WILMINGTON, DE 19810-4900
(302) 479-5505
(302) 478-2637
Taxonomy
Speciality
Code
Description
License number
State
208000000X
Pediatrics Physician
Primary
C10003341
DE
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
0000129401
—
DE
Enumeration date
08/10/2006
Last updated
07/08/2007
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