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General NPI Number Information
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NPI Number | 1932132248
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Entity Type | Organization
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Legal Business Name | BRANDYWINE UROLOGY CONSULTANTS PA
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Dates
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Enumeration Date | 07/09/2006
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Last Update Date | 12/09/2025
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Provider Practice Location Address
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Address Line | 2000 FOULK RD STE F
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City | WILMINGTON
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State | DE
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Zip | 19810-3642
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Country | US
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Telephone | 302-652-8990
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Fax | 302-652-8646
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Provider Business Mailing Address
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Address Line | 12 READS WAY STE 2000
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City | NEW CASTLE
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State | DE
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Zip | 19720-1649
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Country | US
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Telephone | 302-652-8990
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Fax | 302-652-8646
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Authorized Official
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Title or Position | OWNER
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Name | ANDREW J GLICK
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Credential |
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Telephone | 302-652-8417
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 208800000X
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Taxonomy Name | Urology Physician
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License Number |
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License Number State |
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