Provider Demographics
NPI:1700900560
Name:VILLAR, BRYAN PATRICK DE LA CRUZ (MD)
Entity Type:Individual
Prefix:DR
First Name:BRYAN PATRICK
Middle Name:DE LA CRUZ
Last Name:VILLAR
Suffix:
Gender:M
Credentials:MD
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Mailing Address - Street 1:640 S STATE ST
Mailing Address - Street 2:MAIL CODE 3055
Mailing Address - City:DOVER
Mailing Address - State:DE
Mailing Address - Zip Code:19901-3530
Mailing Address - Country:US
Mailing Address - Phone:302-480-1688
Mailing Address - Fax:302-480-9807
Practice Address - Street 1:18383 HUDSON RD STE B
Practice Address - Street 2:
Practice Address - City:MILTON
Practice Address - State:DE
Practice Address - Zip Code:19968-3103
Practice Address - Country:US
Practice Address - Phone:302-725-3499
Practice Address - Fax:302-725-3481
Is Sole Proprietor?:No
Enumeration Date:2007-03-19
Last Update Date:2023-05-16
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Provider Licenses
StateLicense IDTaxonomies
DEC7-0002993207Q00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207Q00000XAllopathic & Osteopathic PhysiciansFamily Medicine