Brandywine Pediatrics, P.a.
NPI #1912016155 in Wilmington, Delaware
Provider Information
- NPI Number
- 1912016155
- Entity Type
- Organization
- Organization Name
- Brandywine Pediatrics, P.a.
- Primary Specialty
- Pediatrics
- Enumeration Date
- Aug 30, 2006
- Last Updated
- Aug 22, 2020
Practice Location
- Address
- 3521 SILVERSIDE RD
- Address 2
- 1F QUILLEN BLDG
- City
- Wilmington
- State
- Delaware
- ZIP Code
- 19810-4900
- Phone
- (302) 479-0294
Authorized Official
- Name
- DR. ILENE BOUDREAUX, M.D.
- Title
- PRESIDENT
- Phone
- (302) 479-0294
Specialties & Taxonomy Codes
| Specialty |
|---|
| Pediatrics |
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