Organization
BRANDYWINE FAMILY MEDICINE, PA
Active
Organization subpart
No
Provider details
NPI number
Authorized official
VALERIE A. ELENER M.D. (OWNER)
(302) 475-5000
Entity
Organization
Contact information
Practice address
2500 GRUBB RD, SUITE 212, WILMINGTON, DE 19810-4799
(302) 475-5000
(302) 475-5200
Mailing address
2500 GRUBB RD, SUITE 212, WILMINGTON, DE 19810-4799
(302) 475-5000
(302) 475-5200
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
C10003339
DE
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
0000712202
—
DE
Enumeration date
08/18/2006
Last updated
02/20/2013
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