Individual
MR. ALFRED E BACON III
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
78 OMEGA DR, BLDG C, NEWARK, DE 19713-2064
(302) 368-2883
(302) 368-2892
Mailing address
78 OMEGA DR, BLDG C, NEWARK, DE 19713-2064
(302) 368-2883
(302) 368-2892
Taxonomy
Speciality
Code
Description
License number
State
207RI0200X
Infectious Disease Physician
Primary
C10002927
DE
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
0000113601
—
DE
Enumeration date
12/13/2006
Last updated
01/09/2019
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