Provider Demographics
NPI:1265294615
Name:DOGAN, DELANEY
Entity type:Individual
Prefix:
First Name:DELANEY
Middle Name:
Last Name:DOGAN
Suffix:
Gender:F
Credentials:
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:332 ROMAIN RD
Mailing Address - Street 2:
Mailing Address - City:PULASKI
Mailing Address - State:PA
Mailing Address - Zip Code:16143-1222
Mailing Address - Country:US
Mailing Address - Phone:724-714-3239
Mailing Address - Fax:
Practice Address - Street 1:26 NESBITT RD STE 100
Practice Address - Street 2:
Practice Address - City:NEW CASTLE
Practice Address - State:PA
Practice Address - Zip Code:16105-3417
Practice Address - Country:US
Practice Address - Phone:724-658-7790
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2024-01-30
Last Update Date:2024-04-03
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
PAMA065348208800000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes208800000XAllopathic & Osteopathic PhysiciansUrology