Healthcare Provider Details

I. General information

NPI: 1679714935
Provider Name (Legal Business Name): ELSAYED O ABDELSALAM MD
Entity Type: Individual
Gender: Male
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 03/17/2009
Last Update Date: 01/27/2026
Certification Date: 01/27/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

120 OLD CAMDEN ROAD SUITE B
CAMDEN DE
19934
US

IV. Provider business mailing address

120 OLD CAMDEN RD STE B
CAMDEN DE
19934-5501
US

V. Phone/Fax

Practice location:
  • Phone: 302-883-3266
  • Fax: 302-883-3084
Mailing address:
  • Phone: 302-883-3266
  • Fax: 302-883-3084

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code208000000X
TaxonomyPediatrics Physician
License Number35C.003551
License Number StateOH
# 2
Primary TaxonomyN
Taxonomy Code208000000X
TaxonomyPediatrics Physician
License NumberMA08647700
License Number StateNJ
# 3
Primary TaxonomyY
Taxonomy Code208000000X
TaxonomyPediatrics Physician
License NumberC1-0009475
License Number StateDE

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: