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NPI 1053450981

OrganizationActive

Adolescent Medicine General Pediatrics & Allergy

NPI 1053450981 · Pediatrics Physician · Dover, DE

Provider details

NPI number: 1053450981
Entity type: Organization
Primary specialty: Pediatrics PhysicianAllopathic & Osteopathic Physicians
Authorized official: Fizul Bacchus, Owner

Practice location

863 Buttner Place

Suite 103

Dover, DE 19904-2406

Phone: (302) 734-3331

Fax: (302) 734-9908

More DE providers

Mailing address

863 Buttner Place

Dover, DE 19904-2406

Registry dates

Enumerated: 2007-02-06
Last updated: 2020-08-22

Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.

Adolescent Medicine General Pediatrics & Allergy — NPI 1053450981, Dover, DE | NPI Central