Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 207V00000X | Obstetrician & Gynecologist | 35121140 | OH |
N | 207VG0400X | Gynecologist | 35121140 | OH |
N | 207VX0000X | Obstetrician | 35121140 | OH |
NPI | 1205966538 |
---|---|
Provider Name | Dr. Alberto Jose Delgado |
First Address | Van Wert, OH 45891-9381 |
Second Address | Van Wert, OH 45891-2475 |
Gender | M |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 06/03/2007 |
Last Update Date | 10/11/2020 |
IDENTIFIER | TYPE / CODE | IDENTIFIER STATE |
---|---|---|
0084358 | (05) | OH |
35121140 | MEDICAL LICENSE (01) | OH |