Individual
MARY ELLEN DELGER
Active
Individual
MARY ELLEN DELGER
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PA
Taxonomy
Speciality
Code
Description
License number
State
363AM0700X
Medical Physician Assistant
Primary
213
MA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
96045
FALLON
MA
01
—
P00603278
RR MEDICARE
MA
Enumeration date
06/22/2006
Last updated
07/31/2008
Update your record
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