Organization
DELAWARE MODERN PEDIATRICS
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MRS. MELISSA LYNN MACOLLEY (BUSINESS MANAGER)
(302) 392-2067
Entity
Organization
Contact information
Practice address
300 BIDDLE AVE, CONNOR BUILDING SUITE 206, NEWARK, DE 19702-3969
(302) 392-2067
(302) 228-8168
Mailing address
300 BIDDLE AVE, CONNOR BUILDING SUITE 206, NEWARK, DE 19702-3969
(302) 392-2067
(302) 228-8168
Taxonomy
Speciality
Code
Description
License number
State
208000000X
Pediatrics Physician
Primary
2007214283
DE
Other
Enumeration date
02/20/2007
Last updated
08/22/2020
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