Provider Demographics
NPI:1518061076
Name:CHIARAMONTE, DELIA ROSSETTO (MD)
Entity Type:Individual
Prefix:DR
First Name:DELIA
Middle Name:ROSSETTO
Last Name:CHIARAMONTE
Suffix:
Gender:F
Credentials:MD
Other - Prefix:DR
Other - First Name:DELIA
Other - Middle Name:LINDA
Other - Last Name:ROSSETTO
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:MD
Mailing Address - Street 1:5615 SAINT ALBANS WAY
Mailing Address - Street 2:
Mailing Address - City:BALTIMORE
Mailing Address - State:MD
Mailing Address - Zip Code:21212-2955
Mailing Address - Country:US
Mailing Address - Phone:410-532-7732
Mailing Address - Fax:410-532-7016
Practice Address - Street 1:520 W LOMBARD ST
Practice Address - Street 2:
Practice Address - City:BALTIMORE
Practice Address - State:MD
Practice Address - Zip Code:21201-1603
Practice Address - Country:US
Practice Address - Phone:410-706-6211
Practice Address - Fax:410-706-6210
Is Sole Proprietor?:No
Enumeration Date:2006-09-12
Last Update Date:2013-02-04
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MDD0057373207Q00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207Q00000XAllopathic & Osteopathic PhysiciansFamily Medicine
Provider Identifiers
StateIdentifier IDID TypeIssuer
MDG54372Medicare UPIN