Individual
DR. FIZUL HUSSAIN BACCHUS
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
D.O.
Contact information
Practice address
863 BUTTNER PLACE, SUITE 103, DOVER, DE 19904-2334
(302) 734-3331
(302) 734-9908
Mailing address
863 BUTTNER PLACE, SUITE 103, DOVER, DE 19904-2334
(302) 734-3331
(302) 734-9908
Taxonomy
Speciality
Code
Description
License number
State
208000000X
Pediatrics Physician
Primary
C20003111
DE
Other
Enumeration date
11/18/2005
Last updated
04/03/2012
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