Individual
VICTORIA BRADFORD MAWN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MD
Contact information
Practice address
4512 KIRKWOOD HIGHWAY, SUITE 300, WILMINGTON, DE 19808
(302) 623-7500
(302) 623-7505
Mailing address
4512 KIRKWOOD HWY, SUITE 300, WILMINGTON, DE 19808-5123
(302) 623-7500
(302) 623-7505
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
Primary
C10004757
DE
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
698201
—
DE
Enumeration date
07/19/2005
Last updated
09/28/2012
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