Healthcare Provider Details

I. General information

NPI: 1831143924
Provider Name (Legal Business Name): WILMINGTON MEDICAL ASSOCIATES, P.A.
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 05/22/2006
Last Update Date: 08/18/2008
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

2700 SILVERSIDE RD SUITE 3
WILMINGTON DE
19810-3719
US

IV. Provider business mailing address

2700 SILVERSIDE RD SUITE 3
WILMINGTON DE
19810-3719
US

V. Phone/Fax

Practice location:
  • Phone: 302-478-0400
  • Fax: 302-478-3827
Mailing address:
  • Phone: 302-478-0400
  • Fax: 302-478-3827

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code207R00000X
TaxonomyInternal Medicine Physician
License Number
License Number StateDE

VIII. Authorized Official

Name: DR. KENNETH M DEMARCO
Title or Position: PRESIDENT
Credential: M.D.
Phone: 302-478-0400