Healthcare Provider Details

I. General information

NPI: 1689852295
Provider Name (Legal Business Name): JAMES R DELGADO BSC., CMT
Entity Type: Individual
Gender: Male
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 02/06/2008
Last Update Date: 02/06/2008
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

1810 SWAMP PIKE SUITE 100
GILBERTSVILLE PA
19525-9307
US

IV. Provider business mailing address

105 OLD MILL RD
ROYERSFORD PA
19468-2714
US

V. Phone/Fax

Practice location:
  • Phone: 610-327-3363
  • Fax: 610-327-9829
Mailing address:
  • Phone: 610-327-3363
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code174400000X
TaxonomySpecialist
License NumberAMTA483
License Number StatePA

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: