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Organization

ORTHO-SURG, P.A.

Active
Organization subpart
No

Provider details

NPI number
Authorized official
VIRGINIA BRODHEAD CLEMMER MD (SECRETARY OF CORPORATION)
(302) 658-4800
Entity
Organization

Contact information

Practice address
2401 PENNSYLVANIA AVE, SUITE 115, WILMINGTON, DE 19806-1401
(302) 658-4800
Mailing address
2401 PENNSYLVANIA AVE, SUITE 115, WILMINGTON, DE 19806-1401

Taxonomy

Speciality
Code
Description
License number
State
2086X0206X
Surgical Oncology Physician
Primary

Other

Enumeration date
11/25/2013
Last updated
11/25/2013
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