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NPI Code Detail

MEDICARE: BRANDYWINE UROLOGY CONSULTANTS PA

MEDICARE: BRANDYWINE UROLOGY CONSULTANTS PA
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
1208800000XUrology Physician

General Provider Information

NPI Number : 1932132248
Entity Type Code : Organization
Provider Name (Legal Business Name) : BRANDYWINE UROLOGY CONSULTANTS PA
Provider Business Mailing Address
First Line : 12 READS WAY STE 2000
Second Line :
City : NEW CASTLE
State : DE
Zip : 19720-1649
Country : US
Telephone Number : 302-652-8990
Fax Number : 302-652-8646
Provider Business Practice Location Address
First Line : 2000 FOULK RD STE F
Second Line :
City : WILMINGTON
State : DE
Zip : 19810-3642
Country : US
Telephone Number : 302-652-8990
Fax Number : 302-652-8646
Authorized Official
Title or Position : OWNER
Name : ANDREW J GLICK
Credential :
Telephone Number : 302-652-8417
Provider Enumeration Date : 07/09/2006
Last Update Date : 12/09/2025

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Directions to “BRANDYWINE UROLOGY CONSULTANTS PA ” Practice Location

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