Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 152W00000X | Optometrist | 3224 | MA |
NPI | 1003831108 |
---|---|
Provider Name | Robert E Delaney |
First Address | Florence, MA 01062-3100 |
Second Address | Florence, MA 01062 |
Gender | M |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 12/07/2006 |
Last Update Date | 22/07/2016 |
IDENTIFIER | TYPE / CODE | IDENTIFIER STATE |
---|---|---|
0353132 | (05) | MA |
T59382 | (02) | MA |