Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
N | 207X00000X | Orthopaedic Surgeon | C1-0000574 | DE |
N | 207XS0114X | Adult Reconstructive Orthopaedic Surgeon | C1-0000574 | DE |
NPI | 1124068671 |
---|---|
Provider Name | Richard T D'alonzo |
First Address | Wilmington, DE 19805 |
Second Address | Wilmington, DE 19805 |
Gender | M |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 06/06/2006 |
Last Update Date | 08/07/2007 |
IDENTIFIER | TYPE / CODE | IDENTIFIER STATE |
---|---|---|
B66533 | (02) |