Provider Demographics
NPI:1487879490
Name:DELCONTE, BETH ANN (MD)
Entity type:Individual
Prefix:DR
First Name:BETH
Middle Name:ANN
Last Name:DELCONTE
Suffix:
Gender:F
Credentials:MD
Other - Prefix:
Other - First Name:
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Mailing Address - Street 1:18 BAYBERRY DR
Mailing Address - Street 2:
Mailing Address - City:BROOMALL
Mailing Address - State:PA
Mailing Address - Zip Code:19008-4413
Mailing Address - Country:US
Mailing Address - Phone:610-325-3411
Mailing Address - Fax:610-325-2095
Practice Address - Street 1:18 BAYBERRY DR
Practice Address - Street 2:
Practice Address - City:BROOMALL
Practice Address - State:PA
Practice Address - Zip Code:19008-4413
Practice Address - Country:US
Practice Address - Phone:610-325-3411
Practice Address - Fax:610-325-2095
Is Sole Proprietor?:Yes
Enumeration Date:2007-04-16
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
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Provider Licenses
StateLicense IDTaxonomies
PAMD034010E208000000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes208000000XAllopathic & Osteopathic PhysiciansPediatrics