Provider Demographics
NPI:1417902271
Name:CARMEN DELCUETO MD & ASSOCIATE
Entity Type:Organization
Organization Name:CARMEN DELCUETO MD & ASSOCIATE
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:VICE PRESIDENT
Authorized Official - Prefix:MS
Authorized Official - First Name:MARTA
Authorized Official - Middle Name:
Authorized Official - Last Name:DELGADO
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:201-319-9722
Mailing Address - Street 1:4121B NEW YORK AVE
Mailing Address - Street 2:
Mailing Address - City:UNION CITY
Mailing Address - State:NJ
Mailing Address - Zip Code:07087-4927
Mailing Address - Country:US
Mailing Address - Phone:201-319-9722
Mailing Address - Fax:201-319-1707
Practice Address - Street 1:4121B NEW YORK AVE
Practice Address - Street 2:
Practice Address - City:UNION CITY
Practice Address - State:NJ
Practice Address - Zip Code:07087-4927
Practice Address - Country:US
Practice Address - Phone:201-319-9722
Practice Address - Fax:201-319-1707
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2006-05-23
Last Update Date:2020-08-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes173000000XOther Service ProvidersLegal MedicineGroup - Single Specialty