Individual provider · Type 1 NPI

Nicol Renee Awadalla Bacon, MD

Developmental - Behavioral Pediatrics Physician · Washington, DC

NPI number 1104062454 Active

Practice location

111 Michigan Ave NW
Washington, DC 20010-2916

Mailing address

PO Box 37215
Baltimore, MD 21297-3215

Specialties and licenses

TaxonomyCodeLicense
Developmental - Behavioral Pediatrics Physician Primary 2080P0006XMD046588 (DC)

Developmental - Behavioral Pediatrics Physician: A developmental-behavioral specialist is a pediatrician with special training and experience who aims to foster understanding and promotion of optimal development of children and families through research, education, clinical care and advocacy efforts. This physician assists in the prevention, diagnosis, and management of developmental difficulties and problematic behaviors in children and in the family dysfunctions…

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About NPI 1104062454

Nicol Renee Awadalla Bacon, MD's National Provider Identifier is 1104062454, issued on Dec 16, 2008. The primary taxonomy on file is Developmental - Behavioral Pediatrics Physician (2080P0006X), and the practice location is in Washington, DC. The record was last updated on Oct 18, 2018.