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NPI Code Detail

MEDICARE: RENE O. BADILLO M.D.

MEDICARE:   RENE O. BADILLO  M.D.
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
1207R00000XInternal Medicine PhysicianC1-0006141DE

Other Identifiers

# Provider Identifier Provider Identifier Type Provider Identifier State Provider Identifier Issuer
1MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program

General Provider Information

NPI Number : 1487651741
Entity Type Code : Individual
Provider Name (Legal Business Name) : RENE O. BADILLO M.D.
Provider Business Mailing Address
First Line : 121 BECKS WOODS DR
Second Line : SUITE 100
City : BEAR
State : DE
Zip : 19701-3851
Country : US
Telephone Number : 302-261-5600
Fax Number : 302-836-4302
Provider Business Practice Location Address
First Line : 121 BECKS WOODS DR
Second Line : SUITE 100
City : BEAR
State : DE
Zip : 19701-3851
Country : US
Telephone Number : 302-261-5600
Fax Number : 302-836-4302
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 07/01/2005
Last Update Date : 04/10/2023

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Directions to “ RENE O. BADILLO M.D.” Practice Location

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