Individual
MICHAEL R DEPIETRO
Active
Sole proprietor
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
4745 OGLETOWN STANTON RD, MAP 1, SUITE 220, NEWARK, DE 19713-2067
(302) 368-5515
(302) 366-1240
Mailing address
4745 OGLETOWN STANTON RD, MAP 1, SUITE 220, NEWARK, DE 19713-2067
(302) 368-5515
(302) 366-1240
Taxonomy
Speciality
Code
Description
License number
State
207RP1001X
Pulmonary Disease Physician
Primary
C10005688
DE
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
0000974301
—
DE
01
—
0295282000
AMERIHEALTH/KEYSTONE
—
01
—
1255450004
CIGNA
—
01
—
289288
MAMSI
—
01
—
4397310
AETNA/USHC
—
01
—
550894
INDEPENDENCE BCBS
—
01
—
58079
COVENTRY
—
01
—
60959401
CARE FIRST BCBS
MD
Enumeration date
05/10/2006
Last updated
07/09/2007
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