Individual
KEVIN CHARLES DELAHANTY
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
100 ROSEBROOK WAY, WAREHAM, MA 02571-1138
(508) 273-4950
(508) 273-4951
Mailing address
200 MILL RD STE 180, FAIRHAVEN, MA 02719-5255
(508) 973-2000
(508) 973-2001
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
Primary
230513
MA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
2130556
MASSHEALTH
MA
05
—
2130556
—
MA
01
—
495710
TUFTS
MA
Enumeration date
09/05/2006
Last updated
04/21/2020
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