Provider Demographics
NPI:1730373390
Name:DELIS, ARISTIDIS GEORGE (MD)
Entity type:Individual
Prefix:DR
First Name:ARISTIDIS
Middle Name:GEORGE
Last Name:DELIS
Suffix:
Gender:M
Credentials:MD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:85 AMSTERDAM DR
Mailing Address - Street 2:
Mailing Address - City:FREEHOLD
Mailing Address - State:NJ
Mailing Address - Zip Code:07728-7738
Mailing Address - Country:US
Mailing Address - Phone:860-798-2385
Mailing Address - Fax:
Practice Address - Street 1:9225 E TANQUE VERDE RD
Practice Address - Street 2:APT 41203
Practice Address - City:TUCSON
Practice Address - State:AZ
Practice Address - Zip Code:85749-8718
Practice Address - Country:US
Practice Address - Phone:520-393-8495
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2007-08-28
Last Update Date:2024-09-05
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NJ25MA10201800207L00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207L00000XAllopathic & Osteopathic PhysiciansAnesthesiology