Individual
NICHOLAS MICHAEL DALESIO
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
600 N WOLFE ST, BLALOCK 904, BALTIMORE, MD 21287-0005
(410) 955-5000
Mailing address
PO BOX 64382, BALTIMORE, MD 21264-4382
Taxonomy
Speciality
Code
Description
License number
State
207L00000X
Anesthesiology Physician
Primary
D72190
MD
390200000X
Student in an Organized Health Care Education/Training Program
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
045282300
—
MD
Enumeration date
12/23/2008
Last updated
07/05/2012
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