Individual
DR. ALFRED WAHABI ATANDA JR.
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
1600 ROCKLAND ROAD, WILMINGTON, DE 19803-3607
(302) 651-6212
(302) 651-4945
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
207XP3100X
Pediatric Orthopaedic Surgery Physician
Primary
C10009481
DE
207XP3100X
Pediatric Orthopaedic Surgery Physician
C7-0004213
DE
Other
Enumeration date
08/06/2008
Last updated
10/07/2011
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