Individual
MR. MAMADOU MOUCTAR BAH
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
PA
Contact information
Practice address
200 HYGEIA DR, NEWARK, DE 19713-2049
(302) 273-1701
(302) 273-4497
Mailing address
749 MIDDLETOWN WARWICK RD, MIDDLETOWN, DE 19709-9095
(302) 273-1614
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
020752-1
NY
363A00000X
Physician Assistant
C0009253
MD
363A00000X
Physician Assistant
Primary
C5-0012025
DE
Other
Enumeration date
04/11/2017
Last updated
08/06/2025
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