Provider Demographics
NPI:1770573891
Name:DELAPAZ, WILLIAM J (MD)
Entity type:Individual
Prefix:
First Name:WILLIAM
Middle Name:J
Last Name:DELAPAZ
Suffix:
Gender:M
Credentials:MD
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Mailing Address - Street 1:11340 PEMBROOKE SQ
Mailing Address - Street 2:SUITE 203
Mailing Address - City:WALDORF
Mailing Address - State:MD
Mailing Address - Zip Code:20603-4808
Mailing Address - Country:US
Mailing Address - Phone:301-843-7737
Mailing Address - Fax:301-932-7917
Practice Address - Street 1:11340 PEMBROOKE SQ
Practice Address - Street 2:SUITE 203
Practice Address - City:WALDORF
Practice Address - State:MD
Practice Address - Zip Code:20603-4808
Practice Address - Country:US
Practice Address - Phone:301-843-7737
Practice Address - Fax:301-932-7917
Is Sole Proprietor?:No
Enumeration Date:2005-10-28
Last Update Date:2016-12-21
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Provider Licenses
StateLicense IDTaxonomies
MDD0035373207VG0400X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207VG0400XAllopathic & Osteopathic PhysiciansObstetrics & GynecologyGynecology
Provider Identifiers
StateIdentifier IDID TypeIssuer
MD014415S66Medicare ID - Type UnspecifiedINDIVIDUAL MEDICARE #