Individual
WILLIAM AGUSTINE DELACEY
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
2000 MEADE PKWY, SUFFOLK, VA 23434-4259
(757) 925-0759
(757) 510-9436
Mailing address
2000 MEADE PKWY, SUFFOLK, VA 23434-4259
(757) 925-0759
(757) 510-9436
Taxonomy
Speciality
Code
Description
License number
State
207RC0000X
Cardiovascular Disease Physician
Primary
0101047940
VA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
060024220
RAILROAD MEDICARE
VA
05
—
6009590
—
VA
05
—
7906603
—
NC
Enumeration date
04/20/2006
Last updated
02/19/2014
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