Individual
DR. SYLVAIN DELISLE
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
22 S GREENE ST, BALTIMORE, MD 21201-1544
(410) 705-7197
(410) 328-0177
Mailing address
PO BOX 64442, BALTIMORE, MD 21264-4442
(410) 705-7197
(410) 328-0177
Taxonomy
Speciality
Code
Description
License number
State
207RC0200X
Critical Care Medicine (Internal Medicine) Physician
D51204
MD
207RP1001X
Pulmonary Disease Physician
Primary
D51204
MD
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1417908807
—
DE
05
—
2003782000
—
WV
01
—
544477-04
BLUE CROSS/BLUE SHIELD
MD
05
—
5852145
—
VA
05
—
867000500
—
MD
Enumeration date
05/12/2006
Last updated
05/15/2014
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