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Individual

DR. STEVEN J. BACHRACH

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
MD

Contact information

Practice address
1600 ROCKLAND RD, WILMINGTON, DE 19803-3607
(302) 651-4200
(302) 651-5948
Mailing address
PO BOX 191, PROVIDER ENROLLMENT DEPT, ROCKLAND, DE 19732-0191
(302) 651-6212
(302) 651-4945

Taxonomy

Speciality
Code
Description
License number
State
208000000X
Pediatrics Physician
C10003032
DE
2080P0008X
Pediatric Neurodevelopmental Disabilities Physician
C10003032
DE
208D00000X
General Practice Physician
Primary
C10003032
DE
208M00000X
Hospitalist Physician
C10003032
DE

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
001072050
PA
05
01429845
NY
05
1165476
LA
05
4437940
DC
05
5030307
NJ
05
6745156
VA
05
7707215
MD
05
Q03032
SC
Enumeration date
09/28/2006
Last updated
09/15/2015
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