Provider Demographics
NPI:1063629566
Name:DELEO, CAESAR AUGUSTUS (MD)
Entity Type:Individual
Prefix:
First Name:CAESAR
Middle Name:AUGUSTUS
Last Name:DELEO
Suffix:
Gender:M
Credentials:MD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:GATEWAY HEALTH PLAN, US STEEL TOWER, FLOOR 41
Mailing Address - Street 2:600 GRANT STREET
Mailing Address - City:PITTSBURGH
Mailing Address - State:PA
Mailing Address - Zip Code:15219-2704
Mailing Address - Country:US
Mailing Address - Phone:412-255-4813
Mailing Address - Fax:
Practice Address - Street 1:600 GRANT STREET
Practice Address - Street 2:US STEEL TOWER, FLOOR 41
Practice Address - City:PITTSBURGH
Practice Address - State:PA
Practice Address - Zip Code:15219-2704
Practice Address - Country:US
Practice Address - Phone:412-255-4813
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2007-05-16
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
PAMD044554E207R00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207R00000XAllopathic & Osteopathic PhysiciansInternal Medicine