Organization
BRANDYWINE WOMENS HEALTH ASSOCIATES
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MRS. GWENN KING (OFFICE MANAGER)
(302) 658-3331
Entity
Organization
Contact information
Practice address
611 W 18TH ST, WILMINGTON, DE 19802-4707
(302) 658-3331
(302) 658-9306
Mailing address
611 W 18TH ST, WILMINGTON, DE 19802-4707
(302) 658-3331
(302) 658-9306
Taxonomy
Speciality
Code
Description
License number
State
207V00000X
Obstetrics & Gynecology Physician
Primary
—
DE
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
001658755
HIGHMARK BLUE SHIELD
DE
05
—
1000039438
—
DE
01
—
2334998000
AMERIHEALTH
DE
Enumeration date
12/05/2006
Last updated
06/13/2011
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