Individual
DR. CHESTER ANTHONY DILALLO
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
7500 GREENWAY CENTER DR, SUITE 520, GREENBELT, MD 20770-3502
(301) 220-2127
Mailing address
PO BOX 79757, BALTIMORE, MD 21279-0757
(443) 274-2900
(443) 274-2391
Taxonomy
Speciality
Code
Description
License number
State
207X00000X
Orthopaedic Surgery Physician
0101020336
VA
207X00000X
Orthopaedic Surgery Physician
Primary
D0010535
MD
207X00000X
Orthopaedic Surgery Physician
MD5004
DC
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
117871700
—
MD
01
—
200032695
RAILROAD MEDICARE
MD
01
—
46950010
BCBS DC PROVIDER #
DC
Enumeration date
07/05/2006
Last updated
02/02/2015
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