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Individual

JOAN A. DELANEY

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
NP

Contact information

Practice address
637 WASHINGTON ST, DORCHESTER, MA 02124-3510
(617) 825-9660
Mailing address
637 WASHINGTON ST, DORCHESTER, MA 02124-3510
(617) 825-9660

Taxonomy

Speciality
Code
Description
License number
State
363L00000X
Nurse Practitioner
Primary
146625
MA

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
NP1859
BLUE CROSS BLUE SHIELD
MA
Enumeration date
10/05/2006
Last updated
03/25/2012
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