Provider Demographics
NPI:1770174997
Name:DELANO, ALAN EUGENE (MED, ATC-L)
Entity type:Individual
Prefix:MR
First Name:ALAN
Middle Name:EUGENE
Last Name:DELANO
Suffix:
Gender:M
Credentials:MED, ATC-L
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:1 RANGER RD
Mailing Address - Street 2:
Mailing Address - City:METHUEN
Mailing Address - State:MA
Mailing Address - Zip Code:01844-3948
Mailing Address - Country:US
Mailing Address - Phone:978-722-6040
Mailing Address - Fax:
Practice Address - Street 1:1 RANGER RD
Practice Address - Street 2:
Practice Address - City:METHUEN
Practice Address - State:MA
Practice Address - Zip Code:01844-3948
Practice Address - Country:US
Practice Address - Phone:978-722-6040
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2021-01-30
Last Update Date:2021-01-30
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MA3177132255A2300X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes2255A2300XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersSpecialist/TechnologistAthletic Trainer