| Delbello, Llc | |
|
3124 E State Blvd Suite 3f Fort Wayne IN 46805-4763 | |
| (260) 482-1681 | |
| (260) 482-1857 |
| Full Name | Delbello, Llc |
|---|---|
| Speciality | Internal Medicine |
| Location | 3124 E State Blvd, Fort Wayne, Indiana |
| Authorized Official Name and Position | Mark W Delbello (PRESIDENT) |
| Authorized Official Contact | 2604821681 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Delbello, Llc Po Box 715375 Columbus OH 43271-5375 Ph: (260) 969-1950 | Delbello, Llc 3124 E State Blvd Suite 3f Fort Wayne IN 46805-4763 Ph: (260) 482-1681 |
| NPI Number | 1902946494 |
|---|---|
| Provider Enumeration Date | 02/07/2007 |
| Last Update Date | 06/29/2011 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1902946494 | NPI | - | NPPES |
| 110175714 | Other | IN | RAILROAD MEDICARE |
| 4134142 | Other | AETNA | |
| 1220 | Other | PHYSICIANS HEALTH PLAN | |
| 000000527354 | Other | IN | ANTHEM |
| 0462448 | Other | CIGNA | |
| 100323980 | Medicaid | IN |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207R00000X | Internal Medicine | 01037213 (Indiana) | Primary |
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