Organization
PM PEDIATRICS OF DELAWARE PA
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DANIELLE MARIE LOPEZ (MANAGER CREDENTIALING/ENROLLMENT)
(516) 207-7936
Entity
Organization
Contact information
Practice address
3180 FASHION CENTER BLVD, NEWARK, DE 19702-3246
(302) 500-5737
(302) 500-5439
Mailing address
1 HOLLOW LN STE 301, NEW HYDE PARK, NY 11042-1215
(516) 207-7936
Taxonomy
Speciality
Code
Description
License number
State
208000000X
Pediatrics Physician
Primary
—
—
261QU0200X
Urgent Care Clinic/Center
—
—
Other
Enumeration date
02/09/2022
Last updated
09/16/2025
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