Organization
DELBELLO, LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. MARK W DELBELLO MD (PRESIDENT)
(260) 482-1681
Entity
Organization
Contact information
Practice address
3124 E STATE BLVD, SUITE 3F, FORT WAYNE, IN 46805-4763
(260) 482-1681
(260) 482-1857
Mailing address
PO BOX 715375, COLUMBUS, OH 43271-5375
(260) 969-1950
(260) 918-2137
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
Primary
01037213
IN
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
000000527354
ANTHEM
IN
01
—
0462448
CIGNA
—
05
—
100323980
—
IN
01
—
110175714
RAILROAD MEDICARE
IN
01
—
1220
PHYSICIANS HEALTH PLAN
—
01
—
4134142
AETNA
—
Enumeration date
02/07/2007
Last updated
06/29/2011
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