De La Calle, Olga L

De La Calle, Olga L is an individual health care provider with primary practice located at 500 Columbia Rd , Dorchester MA 02125-2322. She recently has only one registered license in Allopathic & Osteopathic Physicians / Geriatric Medicine, which is considered as her primary health care specialty. De La Calle, Olga L can be contacted via phone (617) 287-8000.

Contact Information

Primary practice address
500 Columbia Rd Dorchester MA 02125-2322
Phone: (617) 287-8000
Fax:
Website:
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Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Geriatric Medicine 207RG0300X 230436 Massachusetts

Profile Details

NPI number 1548310667
LBN Legal business name De La Calle, Olga L
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Jan 11th, 2007
Last updated Jan 10th, 2012 - about 14 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.

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Identifiers

StateTypeNumberIssuer
All States NPI 1548310667 NPPES
Massachusetts Other 0004910 PTAN (MEDICARE)

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