Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
N | 207V00000X | Obstetrician & Gynecologist | 72551 | MA |
Y | 207VM0101X | Gynecologist - Maternal & Fetal Medicine | 72551 | MA |
NPI | 1093706202 |
---|---|
Provider Name | Ellen H. Delpapa |
First Address | Boston, MA 02241-5348 |
Second Address | Worcester, MA 01605-2903 |
Gender | F |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 04/11/2005 |
Last Update Date | 02/09/2021 |
IDENTIFIER | TYPE / CODE | IDENTIFIER STATE |
---|---|---|
110048131A | (05) | MA |
E86104 | (02) | MA |