Individual
MARGARET SELFRIDGE PROCTOR
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
M.D.
Contact information
Practice address
700 W LEA BLVD, SUITE 209, WILMINGTON, DE 19802-2500
(302) 762-5656
(302) 762-5699
Mailing address
700 W LEA BLVD, SUITE 209, WILMINGTON, DE 19802-2500
(302) 762-5656
(302) 762-5699
Taxonomy
Speciality
Code
Description
License number
State
208000000X
Pediatrics Physician
Primary
C10004810
DE
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
1821116179
NPI GROUP NUMBER
—
Enumeration date
11/14/2006
Last updated
11/21/2011
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