Individual
TREVOR GREGORY ALDRED
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
12100 BLACK SWAN DR STE 104, LEWES, DE 19958-4991
(302) 645-1315
Mailing address
1515 SAVANNAH RD, LEWES, DE 19958-1675
(302) 645-3499
(302) 644-4830
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
C1-0026071
DE
390200000X
Student in an Organized Health Care Education/Training Program
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
C1-0026071
STATE LICENSE
DE
Enumeration date
03/21/2020
Last updated
11/05/2024
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