Provider Demographics
NPI:1154702124
Name:DELGALDO, BICE
Entity type:Individual
Prefix:
First Name:BICE
Middle Name:
Last Name:DELGALDO
Suffix:
Gender:F
Credentials:
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:9 GREGORY LN
Mailing Address - Street 2:
Mailing Address - City:EAST HANOVER
Mailing Address - State:NJ
Mailing Address - Zip Code:07936-1609
Mailing Address - Country:US
Mailing Address - Phone:973-503-0351
Mailing Address - Fax:
Practice Address - Street 1:9 GREGORY LN
Practice Address - Street 2:
Practice Address - City:EAST HANOVER
Practice Address - State:NJ
Practice Address - Zip Code:07936-1609
Practice Address - Country:US
Practice Address - Phone:973-503-0351
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2015-06-15
Last Update Date:2015-06-15
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes174400000XOther Service ProvidersSpecialist
No171W00000XOther Service ProvidersContractor