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 |
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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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Community Open Mri Of Auburn Llc Primary Care Clinic Medicare: Medicare Enrolled Practice Location: 2428 Lake Ave, Fort Wayne, IN 46805 Phone: 260-422-1491 Fax: 260-423-1421 | |
Ashraf H. Hanna, M.d., P.c. Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 4306 Lake Avenue, Fort Wayne, IN 46815 Phone: 260-422-1906 Fax: 260-422-1925 | |
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