Delaware Modern Pediatrics

NPI #1578608592 in Newark, Delaware

Provider Information

NPI Number: 1578608592
Entity Type: Organization
Organization Name: Delaware Modern Pediatrics
Primary Specialty: Pediatrics
Enumeration Date: Feb 20, 2007
Last Updated: Aug 22, 2020

Practice Location

Address: 300 BIDDLE AVE
Address 2: CONNOR BUILDING SUITE 206
City: Newark
State: Delaware
ZIP Code: 19702-3969
Phone: (302) 392-2067

Authorized Official

Name: MRS. MELISSA LYNN MACOLLEY
Title: BUSINESS MANAGER
Phone: (302) 392-2067

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Pediatrics	208000000X	Primary

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