Provider Demographics
NPI:1326189317
Name:DELOWERY, MARK EDWARD (DO, MPH)
Entity Type:Individual
Prefix:DR
First Name:MARK
Middle Name:EDWARD
Last Name:DELOWERY
Suffix:
Gender:M
Credentials:DO, MPH
Other - Prefix:
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Mailing Address - Street 1:474 HUGHES RD
Mailing Address - Street 2:
Mailing Address - City:KING OF PRUSSIA
Mailing Address - State:PA
Mailing Address - Zip Code:19406-3716
Mailing Address - Country:US
Mailing Address - Phone:610-687-9333
Mailing Address - Fax:
Practice Address - Street 1:150 S INDEPENDENCE MALL W
Practice Address - Street 2:SUITE 368
Practice Address - City:PHILADELPHIA
Practice Address - State:PA
Practice Address - Zip Code:19106-3413
Practice Address - Country:US
Practice Address - Phone:215-861-4114
Practice Address - Fax:215-861-4121
Is Sole Proprietor?:Yes
Enumeration Date:2007-02-10
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
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Provider Licenses
StateLicense IDTaxonomies
PAOS005302L207Q00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207Q00000XAllopathic & Osteopathic PhysiciansFamily Medicine