08D1003225 CLIA NUMBER - BRANDYWINE MEDICAL ASSOCIATES

Laboratory Demographics

CLIA Number: 08D1003225

Facility Name: BRANDYWINE MEDICAL ASSOCIATES

Facility Address:
2601 ANNAND DRIVE, SUITE # 23 HERITAGE PROFESSIONAL PLAZA
WILMINGTON, DE
ZIP 19808
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Facility Phone Number: (302) 994-4406

Facility Type: PHYSICIAN OFFICE

Certificate Type: Waiver

NPI Number: 1073116133

Taxonomy: 207RR0500X - Internal Medicine
An internist who treats diseases of joints, muscle, bones and tendons. This specialist diagnoses and treats arthritis, back pain, muscle strains, common athletic injuries and collagen diseases.

CLIA Record

Field Name	Field Value
CLIA Number	08D1003225
LAB Type	PHYSICIAN OFFICE
Facility Name	BRANDYWINE MEDICAL ASSOCIATES
Street	2601 ANNAND DRIVE, SUITE # 23 HERITAGE PROFESSIONAL PLAZA
City	WILMINGTON
State	DE
ZIP	19808
Phone	(302) 994-4406

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This page was last updated on: 5/11/2023