Provider Demographics
NPI:1336149228
Name:DELANEY, MARY L (MD)
Entity Type:Individual
Prefix:DR
First Name:MARY
Middle Name:L
Last Name:DELANEY
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Gender:F
Credentials:MD
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Mailing Address - Street 1:541 MAIN ST
Mailing Address - Street 2:SUITE 210
Mailing Address - City:SOUTH WEYMOUTH
Mailing Address - State:MA
Mailing Address - Zip Code:02190-1868
Mailing Address - Country:US
Mailing Address - Phone:781-952-1280
Mailing Address - Fax:781-952-1570
Practice Address - Street 1:541 MAIN ST
Practice Address - Street 2:SUITE 210
Practice Address - City:SOUTH WEYMOUTH
Practice Address - State:MA
Practice Address - Zip Code:02190-1868
Practice Address - Country:US
Practice Address - Phone:781-952-1280
Practice Address - Fax:781-952-1570
Is Sole Proprietor?:No
Enumeration Date:2005-07-21
Last Update Date:2014-03-13
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Provider Licenses
StateLicense IDTaxonomies
MA71454207R00000X, 207RE0101X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207RE0101XAllopathic & Osteopathic PhysiciansInternal MedicineEndocrinology, Diabetes & Metabolism
No207R00000XAllopathic & Osteopathic PhysiciansInternal Medicine
Provider Identifiers
StateIdentifier IDID TypeIssuer
MAJ12527OtherBLUE CROSS BLUE SHIELD
MA0036416OtherNEIGHBORHOOD HEALTHPLAN
MA1280731OtherFALLON COMMUNITY HEALTH
MA3094006Medicaid
MA071454OtherTUFTS HEALTH PLAN
MA60661OtherHARVARD PILGRIM
C46370Medicare UPIN
MA3094006Medicaid
MA60661OtherHARVARD PILGRIM