Provider Demographics
NPI:1356319339
Name:DAYSPRING CENTER FOR PEDIATRICS, P.A.
Entity type:Organization
Organization Name:DAYSPRING CENTER FOR PEDIATRICS, P.A.
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:MEMBER
Authorized Official - Prefix:DR
Authorized Official - First Name:REYNALDO
Authorized Official - Middle Name:APIADO
Authorized Official - Last Name:EBREO
Authorized Official - Suffix:
Authorized Official - Credentials:MD
Authorized Official - Phone:302-453-1001
Mailing Address - Street 1:2602 EASTBURN CTR
Mailing Address - Street 2:
Mailing Address - City:NEWARK
Mailing Address - State:DE
Mailing Address - Zip Code:19711-7285
Mailing Address - Country:US
Mailing Address - Phone:302-453-1001
Mailing Address - Fax:302-453-0861
Practice Address - Street 1:2602 EASTBURN CTR
Practice Address - Street 2:
Practice Address - City:NEWARK
Practice Address - State:DE
Practice Address - Zip Code:19711-7285
Practice Address - Country:US
Practice Address - Phone:302-453-1001
Practice Address - Fax:302-453-0861
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2006-03-08
Last Update Date:2020-08-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes208000000XAllopathic & Osteopathic PhysiciansPediatricsGroup - Single Specialty