Individual
DR. DENNIS JOHN DELESIO
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
O.D.
Contact information
Practice address
1955 SPRINGFIELD AVE, MAPLEWOOD, NJ 07040-3441
(973) 761-5313
(973) 761-7544
Mailing address
1955 SPRINGFIELD AVE, MAPLEWOOD, NJ 07040-3441
(973) 761-5313
(973) 761-7544
Taxonomy
Speciality
Code
Description
License number
State
152W00000X
Optometrist
Primary
27OA00375400
NJ
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
41011
AETNA
TX
Enumeration date
07/22/2006
Last updated
07/01/2010
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