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Contact Information

KIDS AND TEENS PEDIATRICS OF DOVER
125 GREENTREE DR STE 1
DOVER, DE19904-7656
 Phone: 302-264-9386
 Fax:
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Pediatrics

208000000X 37 Physician/Pediatric Medicine
Indicates primary specialty

NPI Profile & details for KIDS AND TEENS PEDIATRICS OF DOVER

NPI # 1467855254
LBN Legal business name KIDS AND TEENS PEDIATRICS OF DOVER
Authorized official ALEXANDER FUNDERBURK - (ADMINISTRATIVE ASSISTANT)
Entity Organization
Organization subpart 1 No
Enumeration date 10/07/2014
Last updated 05/22/2024 - About 2 years ago
Identifiers n/a
1 Some organization health care providers are made up of components that furnish different types of health care or have separate physical locations where health care is furnished. These components and physical locations are not themselves legal entities, but are part of the organization health care provider (which is a legal entity). A covered organization provider may decide that its subparts (if it has any) should have their own NPI numbers. If a subpart conducts any HIPAA standard transactions on its own (e.g., separately from its parent), it must obtain its own NPI number.

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