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NPI Code Detail

MEDICARE: DR. JULIE F DELEO MD

MEDICARE: DR. JULIE F DELEO MD
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
1207R00000XInternal Medicine Physician220972MA
2207R00000XInternal Medicine PhysicianMD09468RI

Other Identifiers

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

General Provider Information

NPI Number : 1154319440
Entity Type Code : Individual
Provider Name (Legal Business Name) : DR. JULIE F DELEO MD
Provider Business Mailing Address
First Line : 200 MILL RD
Second Line : STE 180
City : FAIRHAVEN
State : MA
Zip : 02719-5252
Country : US
Telephone Number : 508-973-2000
Fax Number : 508-973-2001
Provider Business Practice Location Address
First Line : 2444 E MAIN RD
Second Line :
City : PORTSMOUTH
State : RI
Zip : 02871-4025
Country : US
Telephone Number : 401-683-4817
Fax Number : 508-973-0318
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 10/11/2005
Last Update Date : 10/18/2024

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