National Provider Identifier Database

BRANDYWINE PEDIATRICS PA
Pediatrics

A pediatrician is concerned with the physical, emotional and social health of children from birth to young adulthood. Care encompasses a broad spectrum of health services ranging from preventive healthcare to the diagnosis and treatment of acute and chronic diseases. A pediatrician deals with biological, social and environmental influences on the developing child, and with the impact of disease and dysfunction on development.


Contact Information

BRANDYWINE PEDIATRICS, P.A.
3521 SILVERSIDE RD
1F QUILLEN BLDG
WILMINGTON, DE19810-4900
Phone: 302-479-0294
Fax: 302-478-2637
Website:
Specialty Taxonomy Code
* Pediatrics 208000000X

* Indicates primary specialty

NPI Profile & details for BRANDYWINE PEDIATRICS, P.A.

NPI Number 1912016155
Legal business name
LBN
BRANDYWINE PEDIATRICS, P.A.
Authorized official ILENE BOUDREAUX - (PRESIDENT)
Entity Organization
Organization subpart No
Enumeration date 08/30/2006
Last updated 08/22/2020 - About 6 years ago
Sole proprietor1 Not specified
Identifiers
  • DE Medicaid: 0000684202

1 A sole proprietor/sole proprietorship is an individual, and as such, is eligible for a single NPI number. The sole proprietor must apply for the NPI number using his or her own Social Security Number (SSN), not an Employer Identification Number (EIN) even if he/she has an EIN.

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