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Organization

OASIS PEDIATRICS LLC

Active
Organization subpart
No

Provider details

NPI number
Authorized official
MBWIDIFFU A DIBAL (CEO)
(302) 345-0373
Entity
Organization

Contact information

Practice address
700 W LEA BLVD STE 209, WILMINGTON, DE 19802-2545
(302) 762-5656
Mailing address
23 S HAMPSHIRE CT, WILMINGTON, DE 19807-2582
(302) 345-0373

Taxonomy

Speciality
Code
Description
License number
State
208000000X
Pediatrics Physician
Primary

Other

Enumeration date
08/26/2024
Last updated
08/26/2024
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