Provider Demographics
NPI:1770616641
Name:MELISSA L. DELANEY, DO
Entity type:Organization
Organization Name:MELISSA L. DELANEY, DO
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PHYSICIAN
Authorized Official - Prefix:DR
Authorized Official - First Name:MELISSA
Authorized Official - Middle Name:L
Authorized Official - Last Name:DELANEY
Authorized Official - Suffix:
Authorized Official - Credentials:DO
Authorized Official - Phone:610-429-9101
Mailing Address - Street 1:606 E MARSHALL ST
Mailing Address - Street 2:SUITE 205
Mailing Address - City:WEST CHESTER
Mailing Address - State:PA
Mailing Address - Zip Code:19380-4467
Mailing Address - Country:US
Mailing Address - Phone:610-429-9101
Mailing Address - Fax:610-429-9105
Practice Address - Street 1:606 E MARSHALL ST
Practice Address - Street 2:SUITE 205
Practice Address - City:WEST CHESTER
Practice Address - State:PA
Practice Address - Zip Code:19380-4467
Practice Address - Country:US
Practice Address - Phone:610-429-9101
Practice Address - Fax:610-429-9105
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2007-03-13
Last Update Date:2008-02-26
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
PAOS008542L207V00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes207V00000XAllopathic & Osteopathic PhysiciansObstetrics & GynecologyGroup - Single Specialty
Provider Identifiers
StateIdentifier IDID TypeIssuer
PA5307746OtherAETNA PPO
PAP3175021OtherOXFORD
PA2633210000OtherKEYSTONE GROUP
PA0319346000OtherKEYSTONE INDIVIDUAL
PA1794595OtherHIGHMARK
PA4101887005OtherCIGNA
PA2560675OtherAETNA HMO
PA30029207Medicaid
PA098669Medicare PIN