Delalle, Ivana
Delalle, Ivana is an individual health care provider with primary practice located at 670 Albany Street Suite 304, Boston MA 02118-2646. She recently has 2 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Neuropathology, Allopathic & Osteopathic Physicians / Anatomic Pathology. Allopathic & Osteopathic Physicians / Anatomic Pathology is her primary health care specialty. Delalle, Ivana can be contacted via phone (617) 414-4291.Contact Information
Primary practice address
670 Albany Street Suite 304
Boston MA 02118-2646
Phone: (617) 414-4291
Fax: (617) 414-5315
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Neuropathology | 207ZN0500X | 207664 | Massachusetts |
| 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 | Jul 17th, 2025 - about last year |
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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