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FABIAN PHILEMON NGIDO

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
M.D.

Contact information

Practice address
424 SAVANNAH RD, LEWES, DE 19958-1462
(302) 645-3300
Mailing address
33640 UNION CIR, LEWES, DE 19958-9435
(252) 364-7755

Taxonomy

Speciality
Code
Description
License number
State
208000000X
Pediatrics Physician
0101261875
VA
208000000X
Pediatrics Physician
25MA11663500
NJ
208000000X
Pediatrics Physician
51472
TN
208000000X
Pediatrics Physician
Primary
C1-0024774
DE
208000000X
Pediatrics Physician
D0099613
MD

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
Q006501
TN
Enumeration date
06/27/2011
Last updated
07/24/2024
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