| Brandywine Valley Tms | |
|
2300 Pennsylvania Ave Ste 4c-1 Wilmington DE 19806-1392 | |
| (646) 755-5476 | |
| (570) 221-6246 |
| Full Name | Brandywine Valley Tms |
|---|---|
| Speciality | Psychiatry & Neurology |
| Location | 2300 Pennsylvania Ave Ste 4c-1, Wilmington, Delaware |
| Authorized Official Name and Position | Jack Castro (OWNER) |
| Authorized Official Contact | 3026351710 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Brandywine Valley Tms 1921 Hickory Hill Rd Chadds Ford PA 19317-7333 Ph: (646) 755-5476 | Brandywine Valley Tms 2300 Pennsylvania Ave Ste 4c-1 Wilmington DE 19806-1392 Ph: (646) 755-5476 |
| NPI Number | 1386380525 |
|---|---|
| Provider Enumeration Date | 05/10/2022 |
| Last Update Date | 06/24/2022 |
| Certification Date | 06/24/2022 |
| Medicare PECOS PAC ID | 1153764485 |
|---|---|
| Medicare Enrollment ID | O20240203000010 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1386380525 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 2084P0800X | Psychiatry & Neurology - Psychiatry | (* (Not Available)) | Primary |
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