Provider Demographics
NPI:1093785461
Name:MANUBAY, NAPOLEON (MD)
Entity Type:Individual
Prefix:DR
First Name:NAPOLEON
Middle Name:
Last Name:MANUBAY
Suffix:
Gender:M
Credentials:MD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:2601 ANNAND DR
Mailing Address - Street 2:SUITE13
Mailing Address - City:WILMINGTON
Mailing Address - State:DE
Mailing Address - Zip Code:19808-3719
Mailing Address - Country:US
Mailing Address - Phone:302-995-6192
Mailing Address - Fax:302-998-8076
Practice Address - Street 1:2601 ANNAND DR
Practice Address - Street 2:SUITE 13
Practice Address - City:WILMINGTON
Practice Address - State:DE
Practice Address - Zip Code:19808-3719
Practice Address - Country:US
Practice Address - Phone:302-995-6192
Practice Address - Fax:302-998-8076
Is Sole Proprietor?:No
Enumeration Date:2006-01-26
Last Update Date:2011-08-25
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
DEC1-0000910207Q00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207Q00000XAllopathic & Osteopathic PhysiciansFamily Medicine
Provider Identifiers
StateIdentifier IDID TypeIssuer
DE510401046OtherBCBS OF DE
DE0000199402Medicaid
DEB66350Medicare UPIN
DE0000199402Medicaid