Individual
IVANA DELALLE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
M.D.
Contact information
Practice address
670 ALBANY STREET, SUITE 304, BOSTON, MA 02118-2646
(617) 414-4291
(617) 414-5315
Mailing address
960 MASSACHUSETTS AVENUE, FL 2, BOSTON, MA 02118-2690
Taxonomy
Speciality
Code
Description
License number
State
207ZN0500X
Neuropathology Physician
207664
MA
207ZP0101X
Anatomic Pathology Physician
Primary
207664
MA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
110002861A
—
MA
Enumeration date
02/08/2006
Last updated
07/17/2025
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