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Contact Information

DELAWARE MODERN PEDIATRICS
300 BIDDLE AVE
CONNOR BUILDING SUITE 206
NEWARK, DE19702-3969
 Phone: 302-392-2067
 Fax: 302-228-8168
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Pediatrics

208000000X 37 Physician/Pediatric Medicine
Indicates primary specialty

NPI Profile & details for DELAWARE MODERN PEDIATRICS

NPI # 1578608592
LBN Legal business name DELAWARE MODERN PEDIATRICS
Authorized official MELISSA MACOLLEY - (BUSINESS MANAGER)
Entity Organization
Organization subpart 1 No
Enumeration date 02/20/2007
Last updated 08/22/2020 - About 6 years ago
Identifiers
DE License # 2007214283
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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