Basic Information
| Provider Information | |||||||||
| NPI: | 1093785461 | ||||||||
| EntityType: | 1 | ||||||||
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| OrganizationName: | |||||||||
| LastName: | MANUBAY | ||||||||
| FirstName: | NAPOLEON | ||||||||
| MiddleName: | |||||||||
| NamePrefix: | DR. | ||||||||
| NameSuffix: | |||||||||
| Credential: | M.D. | ||||||||
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| Mailing Information | |||||||||
| Address1: | 2601 ANNAND DR | ||||||||
| Address2: | SUITE13 | ||||||||
| City: | WILMINGTON | ||||||||
| State: | DE | ||||||||
| PostalCode: | 198083719 | ||||||||
| CountryCode: | US | ||||||||
| TelephoneNumber: | 3029956192 | ||||||||
| FaxNumber: | 3029988076 | ||||||||
| Practice Location | |||||||||
| Address1: | 2601 ANNAND DR | ||||||||
| Address2: | SUITE 13 | ||||||||
| City: | WILMINGTON | ||||||||
| State: | DE | ||||||||
| PostalCode: | 198083719 | ||||||||
| CountryCode: | US | ||||||||
| TelephoneNumber: | 3029956192 | ||||||||
| FaxNumber: | 3029988076 | ||||||||
| Other Information | |||||||||
| ProviderEnumerationDate: | 01/26/2006 | ||||||||
| LastUpdateDate: | 08/25/2011 | ||||||||
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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 | 207Q00000X | C1-0000910 | DE | Y | Allopathic & Osteopathic Physicians | Family Medicine |
ID Information
| ID | Type | State | Issuer | Description | 510401046 | 01 | DE | BCBS OF DE | OTHER | 0000199402 | 05 | DE | MEDICAID |