Provider Demographics
NPI:1568433472
Name:CASE, DELVYN C JR (MD)
Entity Type:Individual
Prefix:
First Name:DELVYN
Middle Name:C
Last Name:CASE
Suffix:JR
Gender:M
Credentials:MD
Other - Prefix:
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Mailing Address - Street 1:100 CAMPUS DR
Mailing Address - Street 2:SUITE 108
Mailing Address - City:SCARBOROUGH
Mailing Address - State:ME
Mailing Address - Zip Code:04074-9692
Mailing Address - Country:US
Mailing Address - Phone:207-885-7600
Mailing Address - Fax:207-885-7610
Practice Address - Street 1:100 CAMPUS DR
Practice Address - Street 2:SUITE 108
Practice Address - City:SCARBOROUGH
Practice Address - State:ME
Practice Address - Zip Code:04074-9692
Practice Address - Country:US
Practice Address - Phone:207-885-7600
Practice Address - Fax:207-885-7610
Is Sole Proprietor?:No
Enumeration Date:2006-01-30
Last Update Date:2007-12-20
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Provider Licenses
StateLicense IDTaxonomies
ME8466207RH0003X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207RH0003XAllopathic & Osteopathic PhysiciansInternal MedicineHematology & Oncology
Provider Identifiers
StateIdentifier IDID TypeIssuer
ME002395OtherANTHEM BCBS
ME5991006OtherCIGNA
NH30001297Medicaid
ME4255919OtherAETNA
ME1040653OtherAETNA HMO
NH30001297Medicaid
ME4255919OtherAETNA