Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 2080P0205X | Pediatric Endocrinologist | 35031765 | OH |
NPI | 1104823210 |
---|---|
Provider Name | Paul V Delamater |
First Address | Toledo, OH 43606-3834 |
Second Address | Toledo, OH 43606-3834 |
Gender | M |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 05/07/2005 |
Last Update Date | 24/02/2014 |
IDENTIFIER | TYPE / CODE | IDENTIFIER STATE |
---|---|---|
0252926 | (05) | OH |
4044692 | AETNA (01) | OH |
A83114 | (02) | OH |