Individual provider · Type 1 NPI

Rebecca Buonanno Wildman, PA-C

Medical Physician Assistant · Newark, DE

NPI number 1134614217 Active

Practice location

4755 Ogletown Stanton Rd
Newark, DE 19718-2200

Call (302) 623-0188 Map

Mailing address

200 Hygeia Dr Ste 2300
Newark, DE 19713-2049

Specialties and licenses

TaxonomyCodeLicense
Medical Physician Assistant 363AM0700XC5-0001238 (DE)
Medical Physician Assistant Primary 363AM0700XNone listed

Medical Physician Assistant: Definition to come...

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About NPI 1134614217

Rebecca Buonanno Wildman, PA-C's National Provider Identifier is 1134614217, issued on Jun 29, 2018. The primary taxonomy on file is Medical Physician Assistant (363AM0700X), and the practice location is in Newark, DE. The record was last updated on Apr 7, 2020.