Individual
OLGA L DE LA CALLE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
M.D.
Contact information
Practice address
500 COLUMBIA RD, DORCHESTER, MA 02125-2322
(617) 287-8000
Mailing address
500 COLUMBIA ROAD, DORCHESTER, MA 02125
(617) 287-8000
Taxonomy
Speciality
Code
Description
License number
State
207RG0300X
Geriatric Medicine (Internal Medicine) Physician
Primary
230436
MA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
0004910
PTAN (MEDICARE)
MA
Enumeration date
01/11/2007
Last updated
01/10/2012
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