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Adolescent Medicine General Pediatrics & Allergy

Pediatrics Physician in Dover, DE · enumerated 2007 · authorized official Fizul Bacchus, Owner.

Data current as of Jul 13, 2026 · sourced from CMS NPPES

National Provider Identifier

1053450981

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Registry record

Entity type Organization (Type 2)
Legal business name Adolescent Medicine General Pediatrics & Allergy
Practice address 863 Buttner Place, Suite 103, Dover, DE, 19904
Fax (302) 734-9908
Enumeration date Feb 6, 2007
Last updated in NPPES Aug 22, 2020

Taxonomy & classification

208000000X Pediatrics Physician Allopathic & Osteopathic Physicians Primary

Authorized official

Name Fizul Bacchus
Title Owner

Other identifiers

Identifier Type State Issuer
0001036904 Medicaid DE -

What is an NPI number?

A National Provider Identifier (NPI) is a unique 10-digit number that CMS assigns to every U.S. healthcare provider and organization under HIPAA. Type 1 NPIs identify individual providers; Type 2 NPIs identify organizations. The NPI appears on insurance claims, prescriptions, and credentialing paperwork, and never changes, even if the provider moves or changes specialty.

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Frequently asked questions

Who is the authorized official for Adolescent Medicine General Pediatrics & Allergy?
NPPES lists Fizul Bacchus (Owner) as the authorized official for this organization.
What is the NPI number for Adolescent Medicine General Pediatrics & Allergy?
The NPI for Adolescent Medicine General Pediatrics & Allergy is 1053450981, a Type 2 (organization) record in the CMS NPPES registry.

Providers at this address

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Source: CMS NPPES (public data). Snapshot 2026-07-13. Provider record last updated 2020-08-22.