Individual provider · Type 1 NPI
Marianne Camille San Antonio, DO
Pediatric Neurodevelopmental Disabilities Physician · Wilmington, DE
Practice location
1600 Rockland Rd
Wilmington, DE 19803-3607
Fax (302) 651-4517
Mailing address
PO Box 191
Rockland, DE 19732-0191
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Student in an Organized Health Care Education/Training Program | 390200000X | None listed |
| Pediatric Neurodevelopmental Disabilities Physician Primary | 2080P0008X | C2000998 (DE) |
Pediatric Neurodevelopmental Disabilities Physician: A pediatrician who specializes in the treatment of individuals with developmental delays and learning disorders associated with cerebral palsy, spina bifida, autism, and other chronic neurologic conditions.
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About NPI 1902081664
Marianne Camille San Antonio, DO's National Provider Identifier is 1902081664, issued on Dec 31, 2007. The primary taxonomy on file is Pediatric Neurodevelopmental Disabilities Physician (2080P0008X), and the practice location is in Wilmington, DE. The record was last updated on Jul 13, 2012.