Provider Demographics
NPI:1033297155
Name:DEL NEGRO, RALPH G (DO)
Entity Type:Individual
Prefix:DR
First Name:RALPH
Middle Name:G
Last Name:DEL NEGRO
Suffix:
Gender:M
Credentials:DO
Other - Prefix:
Other - First Name:
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Other - Last Name:
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Other - Credentials:
Mailing Address - Street 1:1809 CORLIES AVENUE
Mailing Address - Street 2:SUITE 1
Mailing Address - City:NEPTUNE
Mailing Address - State:NJ
Mailing Address - Zip Code:07753-4801
Mailing Address - Country:US
Mailing Address - Phone:732-774-5566
Mailing Address - Fax:732-988-7574
Practice Address - Street 1:1809 CORLIES AVENUE
Practice Address - Street 2:SUITE 1
Practice Address - City:NEPTUNE
Practice Address - State:NJ
Practice Address - Zip Code:07753-4801
Practice Address - Country:US
Practice Address - Phone:732-774-5566
Practice Address - Fax:732-988-7574
Is Sole Proprietor?:No
Enumeration Date:2006-11-02
Last Update Date:2007-10-02
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NJ25MB05612700207W00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207W00000XAllopathic & Osteopathic PhysiciansOphthalmology
Provider Identifiers
StateIdentifier IDID TypeIssuer
4254343OtherAETNA
08-02224OtherEVERCARE/ERICKSON
3L4320OtherEMPIRE
NJ5251702Medicaid
OK1931OtherHEALTHNET
NJ667456CNXMedicare PIN
NJE82569Medicare UPIN