Healthcare Provider Details

I. General information

NPI: 1356319339
Provider Name (Legal Business Name): DAYSPRING CENTER FOR PEDIATRICS, P.A.
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 03/08/2006
Last Update Date: 08/22/2020
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

2602 EASTBURN CTR
NEWARK DE
19711-7285
US

IV. Provider business mailing address

2602 EASTBURN CTR
NEWARK DE
19711-7285
US

V. Phone/Fax

Practice location:
  • Phone: 302-453-1001
  • Fax: 302-453-0861
Mailing address:
  • Phone: 302-453-1001
  • Fax: 302-453-0861

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code208000000X
TaxonomyPediatrics Physician
License Number
License Number State

VIII. Authorized Official

Name: DR. REYNALDO APIADO EBREO
Title or Position: MEMBER
Credential: M.D.
Phone: 302-453-1001