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Individual

DR. GRACE WENJUN GUO

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
MD

Contact information

Practice address
1600 ROCKLAND RD, WILMINGTON, DE 19803-3607
(302) 651-4000
(302) 651-4945
Mailing address
PO BOX 191, PROVIDER ENROLLMENT DEPT, ROCKLAND, DE 19732-0191
(302) 651-6212
(302) 651-4945

Taxonomy

Speciality
Code
Description
License number
State
2085P0229X
Pediatric Radiology Physician
Primary
C10006921
DE

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
10233585
VA
05
1967012
PA
05
2644993
NY
05
4025849
MD
05
5525
NJ
05
627447000
MN
05
91013900
FL
05
GG68136
RI
05
Q06920
SC
Enumeration date
09/29/2006
Last updated
02/04/2013
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