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NELSON DELAFUENTE

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
MD

Contact information

Practice address
7007 POWERS BLVD, PARMA, OH 44129-5437
(440) 743-4000
Mailing address
PO BOX 235022, MONTGOMERY, AL 36123-5022

Taxonomy

Speciality
Code
Description
License number
State
207L00000X
Anesthesiology Physician
Primary
35100094
OH

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
0289585
OH
01
376113
ANTHEM BCBS
OH
Enumeration date
04/13/2006
Last updated
07/08/2007
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