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General NPI Number Information
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NPI Number | 1821237033
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Entity Type | Organization
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Legal Business Name | WALTER I DELPH MD PC
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Dates
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Enumeration Date | 02/11/2009
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Last Update Date | 02/11/2009
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Provider Practice Location Address
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Address Line | 1090 AMSTERDAM AVE SUITE 7G
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City | NEW YORK
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State | NY
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Zip | 10025-1737
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Country | US
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Telephone | 212-523-4224
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Fax |
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Provider Business Mailing Address
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Address Line | 1090 AMSTERDAM AVE SUITE 7G
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City | NEW YORK
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State | NY
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Zip | 10025-1737
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Country | US
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Telephone | 212-523-4224
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Fax |
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Authorized Official
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Title or Position | OWNER
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Name | WALTER I DELPH
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Credential | MD
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Telephone | 212-523-2442
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 208800000X
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Taxonomy Name | Urology Physician
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License Number | 118180
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License Number State | NY
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