Organization
BRIGHT FUTURE PEDIATRICS, LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. MAMOON MAHMOUD M.D. (CO-OWNER)
(856) 278-5286
Entity
Organization
Contact information
Practice address
938 S BRADFORD ST, DOVER, DE 19904-4140
(856) 278-5286
Mailing address
PO BOX 1082, DOVER, DE 19903-1082
(856) 278-5286
Taxonomy
Speciality
Code
Description
License number
State
208000000X
Pediatrics Physician
Primary
C10006010
DE
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
H30248
BCBS
DE
Enumeration date
08/17/2011
Last updated
08/17/2011
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