MEDICARE: ALBERT A DELNEGRO M.D., FACC

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	207RC0001X	Clinical Cardiac Electrophysiology Physician	0101044981	VA

Other Identifiers

#	Provider Identifier	Provider Identifier Type	Provider Identifier State	Provider Identifier Issuer
1	MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program

General Provider Information

NPI Number	:	1164491734
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	ALBERT A DELNEGRO M.D., FACC

Provider Business Mailing Address
First Line	:	3020 HAMAKER CT
Second Line	:	SUITE 401
City	:	FAIRFAX
State	:	VA
Zip	:	22031-2238
Country	:	US
Telephone Number	:	703-849-0770
Fax Number	:	703-849-0774

Provider Business Practice Location Address
First Line	:	3020 HAMAKER CT
Second Line	:	SUITE 401
City	:	FAIRFAX
State	:	VA
Zip	:	22031-2238
Country	:	US
Telephone Number	:	703-849-0770
Fax Number	:	703-849-0774

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	03/16/2006
Last Update Date	:	10/01/2010

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