Individual
STEPHEN DUNN
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
A.I. DUPONT HOSPITAL FOR CHILDREN, 1600 ROCKLAND ROAD, WILMINGTON, DE 19803-3607
(302) 651-4000
(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
204F00000X
Transplant Surgery Physician
C10005966
DE
2086S0120X
Pediatric Surgery Physician
Primary
C10005966
DE
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
001085174
—
PA
05
—
010233631
—
VA
05
—
3686507
—
NJ
05
—
6483810
—
MD
05
—
Q05966
—
SC
Enumeration date
02/28/2006
Last updated
12/14/2011
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