MEDICARE: DR. PATRICIA A BAILE 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
1	208000000X	Pediatrics Physician	C1-0010158	DE
2	208D00000X	General Practice Physician	C1-0010158	DE

General Provider Information

NPI Number	:	1750600193
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	DR. PATRICIA A BAILE M.D.

Provider Business Mailing Address
First Line	:	PO BOX 191
Second Line	:
City	:	ROCKLAND
State	:	DE
Zip	:	19732-0191
Country	:	US
Telephone Number	:	302-595-0020
Fax Number	:	302-595-0021

Provider Business Practice Location Address
First Line	:	141 BECKS WOODS DR
Second Line	:
City	:	BEAR
State	:	DE
Zip	:	19701-3833
Country	:	US
Telephone Number	:	302-595-0020
Fax Number	:	302-595-0021

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	05/25/2010
Last Update Date	:	05/04/2018

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