Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 111NR0200X | Radiology | 38MC00564300 | NJ |
Y | 213ER0200X | Radiology | 38MC00564300 | NJ |
NPI | 1649343443 |
---|---|
Provider Name | Dr. Brendan Marlowe Delpino |
First Address | Freehold, NJ 07728-0092 |
Second Address | Freehold, NJ 07728-1752 |
Gender | M |
NPI Entity type | Individual |
Is Sole Proprietor | Yes |
Is Organization Subpart | N/A |
Enumeration Date | 17/11/2006 |
Last Update Date | 25/01/2017 |