Basic Information
Provider Information
NPI: 1124068671
EntityType: 1
ReplacementNPI:  
OrganizationName:  
LastName: D'ALONZO
FirstName: RICHARD
MiddleName: T
NamePrefix:  
NameSuffix:  
Credential: M.D.
OtherOrganizationName:  
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OtherFirstName:  
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Mailing Information
Address1: 7TH AND CLAYTON STREETS
Address2: SUITE 600 MEDICAL SERVICES BLDG
City: WILMINGTON
State: DE
PostalCode: 19805
CountryCode: US
TelephoneNumber: 3026559495
FaxNumber: 3023514896
Practice Location
Address1: 7TH AND CLAYTON STREETS
Address2: SUITE 600 MEDICAL SERVICES BLDG
City: WILMINGTON
State: DE
PostalCode: 19805
CountryCode: US
TelephoneNumber: 3026559495
FaxNumber: 3023514896
Other Information
ProviderEnumerationDate: 06/06/2006
LastUpdateDate: 07/08/2007
NPIDeactivationReasonCode:  
NPIDeactivationDate:  
NPIReactivationDate:  
ProviderGenderCode: M
AuthorizedOfficialLastName:  
AuthorizedOfficialFirstName:  
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AuthorizedOfficialTelephone:  
IsSoleProprietor: N
IsOrganizationSubpart:  
ParentOrganizationLBN:  
AuthorizedOfficialNamePrefix:  
AuthorizedOfficialNameSuffix:  
AuthorizedOfficialCredential:  
NPICertificationDate:  

Taxonomy Information
TaxonomyLicenseStateSwitchTaxonomyGroupTaxonomyTypeTaxonomyClassSubSpecialty
207X00000XC1-0000574DEX Allopathic & Osteopathic PhysiciansOrthopaedic Surgery 
207XS0114XC1-0000574DEX Allopathic & Osteopathic PhysiciansOrthopaedic SurgeryAdult Reconstructive Orthopaedic Surgery

No ID Information.


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