Individual
DR. ANNE M. MEDURI
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MD
Contact information
Practice address
A.I. DUPONT HOSPITAL FOR CHILDREN, 1600 ROCKLAND ROAD, WILMINGTON, DE 19803-3607
(302) 651-4000
(302) 651-4945
Mailing address
PO BOX 191, PROVIDER ENROLLMENT DEPT, ROCKLAND, DE 19732-0191
(302) 651-6212
(302) 651-4945
Taxonomy
Speciality
Code
Description
License number
State
2080P0006X
Developmental - Behavioral Pediatrics Physician
C10007069
DE
2080P0008X
Pediatric Neurodevelopmental Disabilities Physician
Primary
C10007069
DE
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
101040513
—
PA
05
—
11738
—
NJ
05
—
4031148
—
MD
Enumeration date
09/29/2006
Last updated
09/24/2011
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