Individual
DR. ALLAN R. DEJONG
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
CHILDRENS ADVOCACY CENTER OF DELAWARE, 1600 ROCKLAND ROAD, WILMINGTON, DE 19803-3607
(302) 651-4566
(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
208000000X
Pediatrics Physician
Primary
C10003999
DE
208M00000X
Hospitalist Physician
C10003999
DE
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
02730963
—
NY
05
—
2089301
—
NJ
05
—
3731812
—
MD
05
—
6708382
—
VA
05
—
7612178
—
NC
05
—
Q03999
—
SC
Enumeration date
09/28/2006
Last updated
09/13/2011
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