MEDICARE: DR. EUGENE FRANCIS DELAUNE III M.D.

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
1	207PE0004X	Emergency Medical Services (Emergency Medicine) Physician	MD32166	DC
2	207PE0004X	Emergency Medical Services (Emergency Medicine) Physician	D0057052	MD
3	207PE0004X	Emergency Medical Services (Emergency Medicine) Physician	101239144	VA

Other Identifiers

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

General Provider Information

NPI Number	:	1629139969
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	DR. EUGENE FRANCIS DELAUNE III M.D.

Provider Business Mailing Address
First Line	:	7804 ACCOTINK PL
Second Line	:
City	:	ALEXANDRIA
State	:	VA
Zip	:	22308-1226
Country	:	US
Telephone Number	:	202-549-1894
Fax Number	:

Provider Business Practice Location Address
First Line	:	7804 ACCOTINK PL
Second Line	:
City	:	ALEXANDRIA
State	:	VA
Zip	:	22308-1226
Country	:	US
Telephone Number	:	202-549-1894
Fax Number	:	202-549-1894

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	12/12/2006
Last Update Date	:	12/17/2012

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