Organization
ATLANTIC WOMENS MEDICAL SRV
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MR. LEROY T BRINKLEY (ADMINISTRATOR)
(302) 764-1900
Entity
Organization
Contact information
Practice address
2809 BAYNARD BLVD, WILMINGTON, DE 19802-2967
(302) 764-1900
(302) 764-4905
Mailing address
2809 BAYNARD BLVD, WILMINGTON, DE 19802-2967
(302) 764-1900
(302) 764-4905
Taxonomy
Speciality
Code
Description
License number
State
261QA1903X
Ambulatory Surgical Clinic/Center
Primary
1993102135
DE
Other
Enumeration date
12/10/2007
Last updated
12/10/2007
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