MEDICARE: JUDITH MENSAH-PANFORD MD

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	207Q00000X	Family Medicine Physician	C1-0026116	DE
2	208M00000X	Hospitalist Physician	C1-0026116	DE

General Provider Information

NPI Number	:	1629607593
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	JUDITH MENSAH-PANFORD MD

Provider Business Mailing Address
First Line	:	701 N CLAYTON ST
Second Line	:
City	:	WILMINGTON
State	:	DE
Zip	:	19805-3165
Country	:	US
Telephone Number	:	302-575-8040
Fax Number	:	302-575-8005

Provider Business Practice Location Address
First Line	:	2002 FOULK RD STE D
Second Line	:
City	:	WILMINGTON
State	:	DE
Zip	:	19810-3643
Country	:	US
Telephone Number	:	302-334-0330
Fax Number	:

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	04/03/2020
Last Update Date	:	03/03/2025

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