Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 207RC0000X | Internist - Cardiovascular Disease | 044038 | MA |
NPI | 1003868605 |
---|---|
Provider Name | Richard M Delany |
First Address | Milton, MA 02186-3324 |
Second Address | Milton, MA 02186-3324 |
Gender | M |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 16/05/2006 |
Last Update Date | 08/07/2007 |
IDENTIFIER | TYPE / CODE | IDENTIFIER STATE |
---|---|---|
2080699 | (05) | MA |
B97278 | (02) |