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Individual

JORGE LUIS DELGADO

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
MD

Contact information

Practice address
114 ELMORA AVE, ELIZABETH, NJ 07202
(908) 355-6122
(908) 355-9097
Mailing address
PO BOX 2513, ELIZABETH, NJ 07207
(908) 355-6122
(908) 355-9097

Taxonomy

Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
Primary
25MA02894200
NJ
207RG0100X
Gastroenterology Physician
25MA02894200
NJ

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
00K00594
HEALTH NET
05
01475187C
NJ
01
24A83
EMPIRE BLUE CROSS BS
Enumeration date
02/01/2007
Last updated
09/11/2025
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