Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 208200000X | Surgeon | 78754 | MA |
Y | 208600000X | Surgeon | 78754 | MA |
N | 2082S0105X | Plastic Hand Surgeon | 78754 | MA |
NPI | 1851340921 |
---|---|
Provider Name | Stephen Delia |
First Address | Duxbury, MA 02332-5310 |
Second Address | Duxbury, MA 02332-5310 |
Gender | M |
NPI Entity type | Individual |
Is Sole Proprietor | Yes |
Is Organization Subpart | N/A |
Enumeration Date | 08/05/2006 |
Last Update Date | 19/07/2012 |
IDENTIFIER | TYPE / CODE | IDENTIFIER STATE |
---|---|---|
078754 | TUFTS HEALTHCARE (01) | MD |
21237 | HARVARD PILGRIM HEALTHCAR (01) | MA |
471293 | AETNA (01) | MA |
B20354701 | CIGNA (01) | MD |
F73531 | (02) | MA |
J14413 | BLUE CROSS BLUE SHIELD OF (01) | MA |