Provider Demographics
NPI:1942374665
Name:ABAD, REMEDIOS R (MD)
Entity Type:Individual
Prefix:DR
First Name:REMEDIOS
Middle Name:R
Last Name:ABAD
Suffix:
Gender:F
Credentials:MD
Other - Prefix:DR
Other - First Name:REMEDIOS
Other - Middle Name:R
Other - Last Name:DEL ROSARIO
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:MD
Mailing Address - Street 1:1021 GILPIN AVE
Mailing Address - Street 2:SUITE 104
Mailing Address - City:WILMINGTON
Mailing Address - State:DE
Mailing Address - Zip Code:19806-3270
Mailing Address - Country:US
Mailing Address - Phone:302-421-8282
Mailing Address - Fax:302-428-0851
Practice Address - Street 1:1601 MILLTOWN RD
Practice Address - Street 2:LINDELL SQUARE SUITE 5
Practice Address - City:WILMINGTON
Practice Address - State:DE
Practice Address - Zip Code:19808-4027
Practice Address - Country:US
Practice Address - Phone:302-636-9491
Practice Address - Fax:302-636-9492
Is Sole Proprietor?:No
Enumeration Date:2006-11-17
Last Update Date:2013-04-11
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
DEC10000883207Q00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207Q00000XAllopathic & Osteopathic PhysiciansFamily Medicine
Provider Identifiers
StateIdentifier IDID TypeIssuer
DE0000174201Medicaid
D73645Medicare UPIN
013116S57Medicare ID - Type Unspecified