Individual
KIM DELTANO
Active
Sole proprietor
Provider details
NPI number
Gender
F
Credential
CNM
Contact information
Practice address
55 FRUIT STREET, YAW 4, BOSTON, MA 02114-3117
(617) 724-2229
Mailing address
PO BOX 9142, MASS GENERAL PHYSICIANS ORGANIZATION INC, CHARLESTOWN, MA 02129-9142
(617) 724-0287
(617) 726-2894
Taxonomy
Speciality
Code
Description
License number
State
367A00000X
Advanced Practice Midwife
Primary
197093
MA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
0398683
—
MA
01
—
CN0243
BS
MA
Enumeration date
03/08/2006
Last updated
07/08/2007
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