Organization
BRANDYWINE OBGYN, PA
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MICHAEL B COOKSEY DO (PRESIDENT)
(302) 477-1375
Entity
Organization
Contact information
Practice address
3519 SILVERSIDE RD, SUITE 204 RIDGELY BLDG, WILMINGTON, DE 19810-4909
(302) 477-1375
(302) 477-1383
Mailing address
3519 SILVERSIDE RD, SUITE 204 RIDGELY BLDG, WILMINGTON, DE 19810-4909
(302) 477-1375
(302) 477-1383
Taxonomy
Speciality
Code
Description
License number
State
207V00000X
Obstetrics & Gynecology Physician
Primary
C20005691
DE
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1000013840
—
DE
Enumeration date
11/08/2007
Last updated
12/08/2008
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