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Individual

JUSTIN P. ELDRIDGE

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
Man
Credential
M.D.

Contact information

Practice address
501 W 14TH ST, WILMINGTON, DE 19801-1013
(302) 320-4410
Mailing address
200 HYGEIA DR STE 2300, NEWARK, DE 19713-2049

Taxonomy

Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
Primary
C1-0009675
DE
208000000X
Pediatrics Physician
LP01077
RI
208M00000X
Hospitalist Physician
C1-0009675
DE

Other

Enumeration date
06/01/2007
Last updated
11/29/2018
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