Provider Demographics
NPI:1922095991
Name:DELONE, J BRET (MD)
Entity Type:Individual
Prefix:DR
First Name:J
Middle Name:BRET
Last Name:DELONE
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Gender:M
Credentials:MD
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Mailing Address - Street 1:890 POPLAR CHURCH RD
Mailing Address - Street 2:STE 210
Mailing Address - City:CAMP HILL
Mailing Address - State:PA
Mailing Address - Zip Code:17011-2250
Mailing Address - Country:US
Mailing Address - Phone:717-761-7244
Mailing Address - Fax:717-972-4656
Practice Address - Street 1:890 POPLAR CHURCH ROAD
Practice Address - Street 2:SUITE 210
Practice Address - City:CAMP HILL
Practice Address - State:PA
Practice Address - Zip Code:17011
Practice Address - Country:US
Practice Address - Phone:717-761-7244
Practice Address - Fax:717-761-2055
Is Sole Proprietor?:No
Enumeration Date:2005-10-04
Last Update Date:2021-08-11
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Provider Licenses
StateLicense IDTaxonomies
PAMD041721L208600000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes208600000XAllopathic & Osteopathic PhysiciansSurgery
Provider Identifiers
StateIdentifier IDID TypeIssuer
PA020010864OtherRAILROAD MEDICARE
PAE55608Medicare UPIN
PA608993EE8Medicare PIN