Provider Demographics
NPI:1245905777
Name:DELGADO, SINCERE EDDY
Entity type:Individual
Prefix:
First Name:SINCERE
Middle Name:EDDY
Last Name:DELGADO
Suffix:
Gender:M
Credentials:
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:60 SMITH ST
Mailing Address - Street 2:
Mailing Address - City:NEW BRITAIN
Mailing Address - State:CT
Mailing Address - Zip Code:06053-4023
Mailing Address - Country:US
Mailing Address - Phone:860-221-4579
Mailing Address - Fax:
Practice Address - Street 1:60 SMITH ST
Practice Address - Street 2:APT 1
Practice Address - City:NEW BRITAIN
Practice Address - State:CT
Practice Address - Zip Code:06053-4023
Practice Address - Country:US
Practice Address - Phone:860-221-4579
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2021-08-16
Last Update Date:2021-08-16
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CTH2B7X9B6246RP1900X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes246RP1900XTechnologists, Technicians & Other Technical Service ProvidersTechnician, PathologyPhlebotomyGroup - Single Specialty