Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.

Laurel Medical Group, LLC

Organization Internal Medicine Physician · NPI 1477640696

Laurel Medical Group, LLC is an Internal Medicine Physician in Laurel, Delaware. Licensed in Delaware. Registered with an NPI since 2006.

Licensed in
DE
In the registry since
2006
Specialties on file
2
What do these letters mean?
LLC — Limited liability company
A form of business registration, not a clinical qualification.

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Practice location Address checks out

1124 S Central Ave
Laurel, DE 19956-1418
Phone: (302) 875-7753
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Internal Medicine Physician (primary) Taxonomy 207R00000X · Licence C1-0005393 (DE)
Nephrology Physician Taxonomy 207RN0300X · Licence C1-0004999 (DE)

Record details

NPI number1477640696
Entity typeOrganization (Type 2)
Organization subpartNo
Authorized official Antonio Pedro — Co-Owner · (302) 875-7753
NPI enumeratedOctober 9, 2006
Last updated in NPPESSeptember 11, 2025
Mailing address66 Rivers End Dr, Seaford, DE 19973-8011

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