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BRANDYWINE FOOT CARE NPI 1871663385


NPI Information

NPI: 1871663385
Provider Name: BRANDYWINE FOOT CARE
Classification: Podiatrist - 213ES0103X
Entity Type: Organization

Specialization: Foot & Ankle Surgery

Address:
2106 SILVERSIDE RD
WILMINGTON, DE
ZIP 19810
Phone: (302) 478-8099
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BRANDYWINE FOOT CARE is a foot and ankle surgery podiatrist in Wilmington, DE. BRANDYWINE FOOT CARE NPI is 1871663385. The provider is registered as an organization entity type and is a single specialty group.

The provider's business location address is:

2106 SILVERSIDE RD
WILMINGTON, DE
ZIP 19810-162
Phone: (302) 478-8099
Fax: (302) 478-8717

The provider's authorized official is Lori E Larue .
The authorized official title is Owner and has the following contact phone number (302) 478-8099.

The enumeration date for this NPI number is 11/9/2006 and was last updated on 9/28/2007.


Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No.Taxonomy CodeTaxonomy ClasificationTaxonomy SpecializationLicense NumberLicense StatePrimary
1213ES0103XPodiatristFoot & Ankle SurgeryE-10000088DELAWAREYes

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

No.Other Provider IdentifierOther Provider Identifier TypeOther Provider Identifier StateOther Provider Identifier Issuer
1G01249MEDICARE PIN

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 11/14/2023

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