MEDICARE: ANTHONY DELGAIZO 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
1	208800000X	Urology Physician	25MA02050900	NJ

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	:	1639192800
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	ANTHONY DELGAIZO MD

Provider Business Mailing Address
First Line	:	36 NEWARK AVENUE
Second Line	:	SUITE 200 UROLOGY CONSULTANTS PA
City	:	BELLEVILLE
State	:	NJ
Zip	:	07109-4121
Country	:	US
Telephone Number	:	973-759-6950
Fax Number	:	973-759-6945

Provider Business Practice Location Address
First Line	:	36 NEWARK AVENUE
Second Line	:	SUITE 200 UROLOGY CONSULTANTS PA
City	:	BELLEVILLE
State	:	NJ
Zip	:	07109-4121
Country	:	US
Telephone Number	:	973-759-6950
Fax Number	:	973-759-6945

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

Provider Enumeration Date	:	07/26/2006
Last Update Date	:	02/28/2011

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