Organization
LAUREL MEDICAL GROUP, LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
ANTONIO PEDRO M.D. (CO-OWNER)
(302) 875-7753
Entity
Organization
Contact information
Practice address
1124 S CENTRAL AVE, LAUREL, DE 19956-1418
(302) 875-7753
Mailing address
66 RIVERS END DR, SEAFORD, DE 19973-8011
(302) 628-3018
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
Primary
C1-0005393
DE
207RN0300X
Nephrology Physician
C1-0004999
DE
Other
Enumeration date
10/09/2006
Last updated
09/11/2025
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