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NPI Code Detail

MEDICARE: JOSE ANGEL DELVALLE

MEDICARE: JOSE ANGEL DELVALLE
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
1101Y00000XCounselor

Medicare Identifiers

# Provider Identifier Provider Identifier Type Provider Identifier State Provider Identifier Issuer
2Y10086OTHERMAMEDICARE

Other Identifiers

# Provider Identifier Provider Identifier Type Provider Identifier State Provider Identifier Issuer
1MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program
3997303OTHERMANETWORK HEALTH
471756OTHERMATUFTS
512529OTHERMAHNE
6042622756OTHERMACCA
71134107113OTHERMANHP
81134107113OTHERMAFALLON
91134107113OTHERMAMBHP
101134107113OTHERMABEACON

General Provider Information

NPI Number : 1619471570
Entity Type Code : Individual
Provider Name (Legal Business Name) : JOSE ANGEL DELVALLE
Provider Business Mailing Address
First Line : 80 COMMERCIAL ST
Second Line :
City : HOLYOKE
State : MA
Zip : 01040-4704
Country : US
Telephone Number : 413-846-0445
Fax Number :
Provider Business Practice Location Address
First Line : 80 COMMERCIAL ST
Second Line :
City : HOLYOKE
State : MA
Zip : 01040-4704
Country : US
Telephone Number : 413-846-0445
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 03/23/2018
Last Update Date : 03/23/2018

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Directions to “ JOSE ANGEL DELVALLE ” Practice Location

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