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1396836771
COLLEEN R. WITHERELL
WILMINGTON, DE
NPI
1396836771
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
208D00000X General Practice
(Licence: DE C10006211)
Enumeration Date
2006-09-28
Last Update Date
2011-09-02
Business Address
Dr. COLLEEN R. WITHERELL MD
NEMOURS PEDIATRICS JESSUP ST. 1602 JESSUP STREET
WILMINGTON, DE 19802-4210
Phone number: 302-576-5050
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Mailing Address
Dr. COLLEEN R. WITHERELL MD
PO BOX 191 PROVIDER ENROLLMENT DEPT
ROCKLAND, DE 19732-0191
Phone number: 302-651-6212
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