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General NPI Number Information
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NPI Number | 1598295776
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Entity Type | Individual
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Provider Name | JORGE DELGADO MD
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Gender | Male
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Dates
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Enumeration Date | 06/19/2017
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Last Update Date | 03/07/2025
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Provider Practice Location Address
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Address Line | 3959 BROADWAY
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City | NEW YORK
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State | NY
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Zip | 10032-1559
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Country | US
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Telephone | 212-305-6912
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Fax |
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Provider Business Mailing Address
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Address Line | 101 W 90TH ST APT 4H
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City | NEW YORK
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State | NY
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Zip | 10024-1275
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Country | US
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Telephone | 267-693-6484
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Fax |
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Authorized Official
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Title or Position |
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Name |
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Credential |
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Telephone |
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 2085P0229X
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Taxonomy Name | Pediatric Radiology Physician
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License Number | MT224932
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License Number State | PA
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Taxonomy #2
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Taxonomy Code | 2085R0202X
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Taxonomy Name | Diagnostic Radiology Physician
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License Number | 333131
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License Number State | NY
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Taxonomy #3
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Taxonomy Code | 2085P0229X
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Taxonomy Name | Pediatric Radiology Physician
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License Number | 333131
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License Number State | NY
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