Organization
BRANDYWINE MEDICAL ASSOCIATES, INC.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
PASQUALE FUCCI MD (PRESIDENT)
(302) 652-4705
Entity
Organization
Contact information
Practice address
1815 W 13TH ST, WILMINGTON, DE 19806-4054
(302) 652-4705
(302) 652-2917
Mailing address
1815 W 13TH ST, WILMINGTON, DE 19806-4054
(302) 652-4705
(302) 652-2917
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
—
—
207R00000X
Internal Medicine Physician
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
000998502
—
DE
Enumeration date
05/27/2006
Last updated
06/14/2023
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