Brandywine Pediatrics, P.A.

LBN: Brandywine Pediatrics, P.A.
Brandywine Pediatrics, P.A. is an health care organization with primary practice located at 3521 Silverside Rd 1F Quillen Bldg, Wilmington DE 19810-4900. The organization recently has only one registered license in Allopathic & Osteopathic Physicians / Pediatrics, which is considered as the primary health care specialty. Brandywine Pediatrics, P.A. can be contacted via phone (302) 479-0294, or through Boudreaux, Ilene via phone (302) 479-0294.

Contact Information

Primary practice address
3521 Silverside Rd 1F Quillen Bldg Wilmington DE 19810-4900
Phone: (302) 479-0294
Fax: (302) 478-2637
Website:
Map and Directions
Authorized official contact:
Name: Boudreaux, Ilene Doctor of Medicine (MD)
Phone: (302) 479-0294

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Pediatrics 208000000X

Profile Details

NPI number 1912016155
LBN Legal business name Brandywine Pediatrics, P.A.
DBA Doing business as
Authorized official Boudreaux, Ilene Doctor of Medicine (MD)
Entity Organization
Organization subpart 1 No
Enumeration date Aug 30th, 2006
Last updated Aug 22nd, 2020 - about 5 years ago

1 Some organizations, which are providing health care services, may consist of units or departments that provide different types of health care services or have several separate physical locations, where health care service is provided. These units, departments or physical locations are not themselves legal entities. However, each of them is part of the organization, which is a legal entity. The organization may decide whether its subparts, if it has any, should have their own NPI numbers. In case a subpart conducts any HIPAA standard transactions by itself, without its parent's involvement, it must have its own NPI number.

Request for update

Identifiers

StateTypeNumberIssuer
All States NPI 1912016155 NPPES
Delaware MEDICAID 0000684202

Popular Providers