Delalle, Ivana
Delalle, Ivana is an individual health care provider with primary practice located at 670 Albany St Floor 3 Room 310, Boston MA 02118-2646. She recently has only one registered license in Allopathic & Osteopathic Physicians / Anatomic Pathology, which is considered as her primary health care specialty. Delalle, Ivana can be contacted via phone (617) 414-5314.Contact Information
Primary practice address
670 Albany St Floor 3 Room 310
Boston MA 02118-2646
Phone: (617) 414-5314
Fax: (617) 414-5315
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Anatomic Pathology | 207ZP0101X | 207664 | Massachusetts |
Profile Details
| NPI number | 1609849918 |
|---|---|
| LBN Legal business name | Delalle, Ivana |
| Credentials | Doctor of Medicine (MD) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Feb 8th, 2006 |
| Last updated | Oct 6th, 2015 - about 10 years ago |
1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1609849918 | NPPES |
| Massachusetts | MEDICAID | 110002861A |
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