Pediatric Associates, PA

NPI #1164534731 in Newark, Delaware

Provider Information

NPI Number: 1164534731
Entity Type: Organization
Organization Name: Pediatric Associates, PA
Primary Specialty: Pediatrics
Enumeration Date: Aug 31, 2006
Last Updated: Aug 22, 2020

Practice Location

Address: 4735 OGLETOWN STANTON RD
Address 2: MAP 2 SUITE 1116
City: Newark
State: Delaware
ZIP Code: 19713-2072
Phone: (302) 368-8612

Authorized Official

Name: MR. MELISSA L MACOLLEY
Title: BUSINESS MANAGER
Phone: (302) 368-8612

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Pediatrics	208000000X	Primary

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