Individual
DR. MICHELLE DALENCOUR
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
M.D.
Contact information
Practice address
1575 BLUE HILL AVE, MATTAPAN, MA 02126-2122
(617) 296-0061
Mailing address
1575 BLUE HILL AVE, MATTAPAN, MA 02126-2122
(617) 296-0061
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
263506
MA
Other
Enumeration date
05/23/2012
Last updated
07/18/2016
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