Basic Information
| Provider Information | |||||||||
| NPI: | 1023322435 | ||||||||
| EntityType: | 1 | ||||||||
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| OrganizationName: | |||||||||
| LastName: | HO | ||||||||
| FirstName: | WAYNE | ||||||||
| MiddleName: | F | ||||||||
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| Credential: | MD | ||||||||
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| Mailing Information | |||||||||
| Address1: | PO BOX 191 | ||||||||
| Address2: | PROVIDER ENROLLMENT DEPARTMENT | ||||||||
| City: | ROCKLAND | ||||||||
| State: | DE | ||||||||
| PostalCode: | 197320191 | ||||||||
| CountryCode: | US | ||||||||
| TelephoneNumber: | 3026516212 | ||||||||
| FaxNumber: | 6026514945 | ||||||||
| Practice Location | |||||||||
| Address1: | 1600 ROCKLAND RD | ||||||||
| Address2: | NEMOURS DUPONT PEDIATRICS | ||||||||
| City: | WILMINGTON | ||||||||
| State: | DE | ||||||||
| PostalCode: | 198033607 | ||||||||
| CountryCode: | US | ||||||||
| TelephoneNumber: | 3026514200 | ||||||||
| FaxNumber: | 3026514945 | ||||||||
| Other Information | |||||||||
| ProviderEnumerationDate: | 07/28/2010 | ||||||||
| LastUpdateDate: | 03/13/2017 | ||||||||
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| ProviderGenderCode: | M | ||||||||
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| IsSoleProprietor: | N | ||||||||
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Taxonomy Information
| Taxonomy | License | State | Switch | TaxonomyGroup | TaxonomyType | TaxonomyClass | SubSpecialty | 208000000X | C10007060 | DE | Y | Allopathic & Osteopathic Physicians | Pediatrics | 208000000X | ME130486 | FL | N | Allopathic & Osteopathic Physicians | Pediatrics | 208D00000X | ME130486 | FL | N | Allopathic & Osteopathic Physicians | General Practice | 208000000X | MD417247 | PA | N | Allopathic & Osteopathic Physicians | Pediatrics | 208000000X | 25MA10013400 | NJ | N | Allopathic & Osteopathic Physicians | Pediatrics | 208000000X | D82978 | MD | N | Allopathic & Osteopathic Physicians | Pediatrics |
No ID Information.