Individual
DR. JOHN G. DELEONIBUS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
D.P.M.
Contact information
Practice address
2086 GENERALS HWY, SUITE 101, ANNAPOLIS, MD 21401-6700
(410) 266-7666
(410) 266-7703
Mailing address
2086 GENERALS HWY, SUITE 101, ANNAPOLIS, MD 21401-6700
(410) 266-7666
(410) 266-7703
Taxonomy
Speciality
Code
Description
License number
State
213ES0103X
Foot & Ankle Surgery Podiatrist
Primary
00899
MD
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
002778200
—
MD
01
—
1394932
CIGNA PROVIDER ID
MD
01
—
26825
MAMSI PROVIDER ID
MD
01
—
2700467
UNITED HEALTHCARE PROVIDE
MD
05
—
336315500
—
MD
05
—
336315501
—
MD
05
—
336315502
—
MD
01
—
41259901
BCBS-MD
MD
01
—
455037
AETNA PROVIDER ID
MD
01
—
521709568
TAX ID
—
01
—
54880001
BCBS DC
DC
Enumeration date
10/04/2006
Last updated
11/19/2014
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