Mawn, Victoria Bradford

Mawn, Victoria Bradford is an individual health care provider with primary practice located at 4512 Kirkwood Highway Suite 300, Wilmington DE 19808. She recently has only one registered license in Allopathic & Osteopathic Physicians / Internal Medicine, which is considered as her primary health care specialty. Mawn, Victoria Bradford can be contacted via phone (302) 623-7500.

Contact Information

Primary practice address
4512 Kirkwood Highway Suite 300 Wilmington DE 19808
Fax: (302) 623-7505
Website:

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Internal Medicine 207R00000X C10004757 Delaware

Profile Details

NPI number 1932108305
LBN Legal business name Mawn, Victoria Bradford
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Jul 19th, 2005
Last updated Sep 28th, 2012 - about 12 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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Identifiers

StateTypeNumberIssuer
All States NPI 1932108305 NPPES
Delaware MEDICAID 698201

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