Organization
INFECTIOUS DISEASE ASSOCIATES PA
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MR. ALFRED BACON M.D. (PRACTICE OWNER)
(302) 368-2883
Entity
Organization
Contact information
Practice address
78 OMEGA DR BLDG C, NEWARK, DE 19713-2064
(302) 368-2883
(302) 368-2892
Mailing address
78 OMEGA DR BLDG C, NEWARK, DE 19713-2064
(302) 368-2883
(302) 368-2892
Taxonomy
Speciality
Code
Description
License number
State
207RI0200X
Infectious Disease Physician
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
0000350102
—
DE
Enumeration date
12/01/2006
Last updated
06/17/2021
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