Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 207RC0001X | Clinical Cardiac Electrophysiologist | 0101044981 | VA |
NPI | 1164491734 |
---|---|
Provider Name | Albert A Delnegro |
First Address | Fairfax, VA 22031-2238 |
Second Address | Fairfax, VA 22031-2238 |
Gender | M |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 16/03/2006 |
Last Update Date | 01/10/2010 |
IDENTIFIER | TYPE / CODE | IDENTIFIER STATE |
---|---|---|
006082360 | (05) | VA |
B94469 | (02) | VA |