Individual
MICHAEL DAVID DELISI
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
1135 BROAD ST, ST. JOSEPH'S FAMILY MEDICINE AT CLIFTON, CLIFTON, NJ 07013-3346
(973) 754-4100
Mailing address
703 MAIN ST, ST. JOSEPH'S REGIONAL MEDICAL CENTER, PATERSON, NJ 07503-2621
(973) 754-4100
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
25MA05259000
NJ
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1968009
—
NJ
05
—
4136403
—
NJ
Enumeration date
06/12/2006
Last updated
11/15/2012
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