Provider Demographics
NPI:1255574125
Name:DELGIACCO, ELIZABETH JEANETTE (DO)
Entity type:Individual
Prefix:DR
First Name:ELIZABETH
Middle Name:JEANETTE
Last Name:DELGIACCO
Suffix:
Gender:F
Credentials:DO
Other - Prefix:
Other - First Name:ELIZABETH
Other - Middle Name:
Other - Last Name:SMITH
Other - Suffix:
Other - Last Name Type:Professional Name
Other - Credentials:DO
Mailing Address - Street 1:9150 ESTATE THOMAS
Mailing Address - Street 2:SUITE 202
Mailing Address - City:ST THOMAS
Mailing Address - State:VI
Mailing Address - Zip Code:00802-2612
Mailing Address - Country:US
Mailing Address - Phone:585-259-3040
Mailing Address - Fax:
Practice Address - Street 1:48 ESTATE CASTLE COAKLEY
Practice Address - Street 2:
Practice Address - City:ST CROIX
Practice Address - State:VI
Practice Address - Zip Code:00820
Practice Address - Country:US
Practice Address - Phone:340-772-1551
Practice Address - Fax:340-776-1552
Is Sole Proprietor?:No
Enumeration Date:2009-04-08
Last Update Date:2023-10-23
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
VI2121207RH0003X
PAOT014714207R00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207R00000XAllopathic & Osteopathic PhysiciansInternal Medicine
Yes207RH0003XAllopathic & Osteopathic PhysiciansInternal MedicineHematology & Oncology