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General NPI Number Information
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NPI Number | 1730227141
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Entity Type | Individual
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Provider Name | JORGE LUIS DELGADO MD
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Gender | Male
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Dates
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Enumeration Date | 02/01/2007
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Last Update Date | 09/11/2025
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Provider Practice Location Address
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Address Line | 114 ELMORA AVE
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City | ELIZABETH
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State | NJ
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Zip | 07202
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Country | US
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Telephone | 908-355-6122
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Fax | 908-355-9097
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Provider Business Mailing Address
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Address Line | PO BOX 2513
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City | ELIZABETH
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State | NJ
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Zip | 07207
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Country | US
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Telephone | 908-355-6122
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Fax | 908-355-9097
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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 | 207R00000X
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Taxonomy Name | Internal Medicine Physician
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License Number | 25MA02894200
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License Number State | NJ
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Taxonomy #2
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Taxonomy Code | 207RG0100X
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Taxonomy Name | Gastroenterology Physician
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License Number | 25MA02894200
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License Number State | NJ
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