Basic Information
Provider Information
NPI: 1710391065
EntityType: 1
ReplacementNPI:  
OrganizationName:  
LastName: DELANY
FirstName: DENNIS
MiddleName: RYAN
NamePrefix: DR.
NameSuffix:  
Credential: M.D.
OtherOrganizationName:  
OtherOrganizationType:  
OtherLastName:  
OtherFirstName:  
OtherMiddleName:  
OtherNamePrefix:  
OtherNameSuffix:  
OtherCredential:  
OtherLastNameType:  
Mailing Information
Address1: 6201 GREENLEIGH AVE
Address2:  
City: MIDDLE RIVER
State: MD
PostalCode: 212202004
CountryCode: US
TelephoneNumber: 4109336423
FaxNumber:  
Practice Location
Address1: 600 N WOLFE ST
Address2:  
City: BALTIMORE
State: MD
PostalCode: 212870005
CountryCode: US
TelephoneNumber: 4109555000
FaxNumber:  
Other Information
ProviderEnumerationDate: 06/15/2014
LastUpdateDate: 07/07/2021
NPIDeactivationReasonCode:  
NPIDeactivationDate:  
NPIReactivationDate:  
ProviderGenderCode: M
AuthorizedOfficialLastName:  
AuthorizedOfficialFirstName:  
AuthorizedOfficialMiddleName:  
AuthorizedOfficialTitleorPosition:  
AuthorizedOfficialTelephone:  
IsSoleProprietor: N
IsOrganizationSubpart:  
ParentOrganizationLBN:  
AuthorizedOfficialNamePrefix:  
AuthorizedOfficialNameSuffix:  
AuthorizedOfficialCredential:  
NPICertificationDate: 07/07/2021

Taxonomy Information
TaxonomyLicenseStateSwitchTaxonomyGroupTaxonomyTypeTaxonomyClassSubSpecialty
208000000XLL37110SCN Allopathic & Osteopathic PhysiciansPediatrics 
207L00000XD91616MDY Allopathic & Osteopathic PhysiciansAnesthesiology 

No ID Information.


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