Provider First Line Business Practice Location Address:
14TH AND WASHINGTON STREETS
Provider Second Line Business Practice Location Address:
CHRISTIANA CARE HEALTH SERVICES-WILMINGTON HOSP ANNEX
Provider Business Practice Location Address City Name:
WILMINGTON
Provider Business Practice Location Address State Name:
DE
Provider Business Practice Location Address Postal Code:
19899-1668
Provider Business Practice Location Address Country Code:
US
Provider Business Practice Location Address Telephone Number:
302-255-1312
Provider Business Practice Location Address Fax Number:
302-255-1374
Provider Enumeration Date:
10/11/2006