Provider Demographics
NPI:1518259571
Name:D'ALLEVA, EMMA (RPH)
Entity Type:Individual
Prefix:
First Name:EMMA
Middle Name:
Last Name:D'ALLEVA
Suffix:
Gender:F
Credentials:RPH
Other - Prefix:
Other - First Name:EMERENZIANA
Other - Middle Name:
Other - Last Name:D'ALLEVA
Other - Suffix:
Other - Last Name Type:Other Name
Other - Credentials:
Mailing Address - Street 1:270 GREEN ST
Mailing Address - Street 2:
Mailing Address - City:CAMBRIDGE
Mailing Address - State:MA
Mailing Address - Zip Code:02139-3312
Mailing Address - Country:US
Mailing Address - Phone:617-575-5850
Mailing Address - Fax:
Practice Address - Street 1:270 GREEN ST
Practice Address - Street 2:
Practice Address - City:CAMBRIDGE
Practice Address - State:MA
Practice Address - Zip Code:02139-3312
Practice Address - Country:US
Practice Address - Phone:617-575-5850
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2011-05-10
Last Update Date:2011-05-10
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MA22846183500000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes183500000XPharmacy Service ProvidersPharmacist