Provider Demographics
NPI:1336246453
Name:DELLINGER, R. PHILLIP (MD)
Entity Type:Individual
Prefix:DR
First Name:R. PHILLIP
Middle Name:
Last Name:DELLINGER
Suffix:
Gender:M
Credentials:MD
Other - Prefix:
Other - First Name:
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Other - Last Name:
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Other - Credentials:
Mailing Address - Street 1:1 COOPER PLZ
Mailing Address - Street 2:KELEMAN 404
Mailing Address - City:CAMDEN
Mailing Address - State:NJ
Mailing Address - Zip Code:08103-1461
Mailing Address - Country:US
Mailing Address - Phone:856-342-2057
Mailing Address - Fax:856-968-8348
Practice Address - Street 1:1 COOPER PLZ
Practice Address - Street 2:DORRANCE 372A
Practice Address - City:CAMDEN
Practice Address - State:NJ
Practice Address - Zip Code:08103-1461
Practice Address - Country:US
Practice Address - Phone:856-342-3084
Practice Address - Fax:856-968-8306
Is Sole Proprietor?:No
Enumeration Date:2006-09-20
Last Update Date:2016-04-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NJMA73770207RC0200X
PAMD421994207RC0200X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207RC0200XAllopathic & Osteopathic PhysiciansInternal MedicineCritical Care Medicine
Provider Identifiers
StateIdentifier IDID TypeIssuer
NJ1438732OtherUNITED HEALTH PLAN
NJ1159672OtherHORIZON-NJ HEALTH
NJ35752OtherUNIVERSITY HEALTH PLAN
NJ3K6057OtherHEALTHNET, INC
NJP2631132OtherOXFORD HEALTH PLAN
NJ10654693OtherCAQH
NJ1438732OtherUNITED HEALTH PLAN
NJ3K6057OtherHEALTHNET, INC