Adolescent Medicine General Pediatrics & Allergy

LBN: Adolescent Medicine General Pediatrics & Allergy
Adolescent Medicine General Pediatrics & Allergy is an health care organization with primary practice located at 863 Buttner Place Suite 103, Dover DE 19904-2406. The organization recently has only one registered license in Allopathic & Osteopathic Physicians / Pediatrics, which is considered as the primary health care specialty. Adolescent Medicine General Pediatrics & Allergy can be contacted via phone (302) 734-3331, or through Bacchus, Fizul H via phone (302) 734-3331.

Contact Information

Primary practice address
863 Buttner Place Suite 103 Dover DE 19904-2406
Phone: (302) 734-3331
Fax: (302) 734-9908
Website:
Map and Directions
Authorized official contact:
Name: Bacchus, Fizul H Doctor of Osteopathy (DO)
Phone: (302) 734-3331

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Pediatrics 208000000X

Profile Details

NPI number 1053450981
LBN Legal business name Adolescent Medicine General Pediatrics & Allergy
DBA Doing business as
Authorized official Bacchus, Fizul H Doctor of Osteopathy (DO)
Entity Organization
Organization subpart 1 No
Enumeration date Feb 6th, 2007
Last updated Aug 22nd, 2020 - about 6 years ago

1 Some organizations, which are providing health care services, may consist of units or departments that provide different types of health care services or have several separate physical locations, where health care service is provided. These units, departments or physical locations are not themselves legal entities. However, each of them is part of the organization, which is a legal entity. The organization may decide whether its subparts, if it has any, should have their own NPI numbers. In case a subpart conducts any HIPAA standard transactions by itself, without its parent's involvement, it must have its own NPI number.

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Identifiers

StateTypeNumberIssuer
All States NPI 1053450981 NPPES
Delaware MEDICAID 0001036904

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