Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of October 4, 2026.

Adolescent Medicine General Pediatrics & Allergy

Organization Pediatrics Physician · NPI 1053450981

Adolescent Medicine General Pediatrics & Allergy provides Pediatrics Physician services in Dover, Delaware. Registered with an NPI since 2007.

In the registry since
2007

Practice location Address checks out

863 Buttner Pl Ste 103
Dover, DE 19904-2406
Phone: (302) 734-3331
Fax: (302) 734-9908
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Pediatrics Physician (primary) Taxonomy 208000000X

Record details

NPI number1053450981
Entity typeOrganization (Type 2)
Organization subpartNo
Authorized official Fizul Bacchus — Owner · (302) 734-3331
NPI enumeratedFebruary 6, 2007
Last updated in NPPESAugust 22, 2020
Mailing address863 Buttner Place, Suite 103, Dover, DE 19904-2406

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