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Organization

MICHAEL D. DELANGE MD INC.

Active
Organization subpart
No

Provider details

NPI number
Authorized official
MICHAEL D DELANGE M.D. (OWNER)
(510) 881-1041
Entity
Organization

Contact information

Practice address
22298 MAIN ST, HAYWARD, CA 94541-4005
(510) 881-1041
(510) 881-2178
Mailing address
22298 MAIN ST, HAYWARD, CA 94541-4005
(510) 881-1041
(510) 881-2178

Taxonomy

Speciality
Code
Description
License number
State
261QP2300X
Primary Care Clinic/Center
Primary
A070358
CA

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
00A703580
CALIFORNIA LICENSE
CA
01
05D0598909 CA
MEDICARE
CA
01
X74910
CALIFORNIA UPIN
CA
Enumeration date
04/23/2008
Last updated
04/23/2008
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