Provider Demographics
NPI:1639616337
Name:DELZER, ROBERT (RN)
Entity Type:Individual
Prefix:
First Name:ROBERT
Middle Name:
Last Name:DELZER
Suffix:
Gender:M
Credentials:RN
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:1700 N DUPONT HWY
Mailing Address - Street 2:APT. H304
Mailing Address - City:DOVER
Mailing Address - State:DE
Mailing Address - Zip Code:19901-7811
Mailing Address - Country:US
Mailing Address - Phone:443-567-2330
Mailing Address - Fax:
Practice Address - Street 1:1700 N DUPONT HWY
Practice Address - Street 2:APT. H304
Practice Address - City:DOVER
Practice Address - State:DE
Practice Address - Zip Code:19901-7811
Practice Address - Country:US
Practice Address - Phone:443-567-2330
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2017-01-19
Last Update Date:2017-01-19
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
DEL1-0049820282N00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes282N00000XHospitalsGeneral Acute Care Hospital