Provider Demographics
NPI:1881980365
Name:DELANO, SOPHIA L (MD, MPP)
Entity type:Individual
Prefix:DR
First Name:SOPHIA
Middle Name:L
Last Name:DELANO
Suffix:
Gender:F
Credentials:MD, MPP
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Mailing Address - Street 1:281 LINCOLN STREET
Mailing Address - Street 2:DIVISION OF DERMATOLOGY UMASSMEMORIAL
Mailing Address - City:WORCESTER
Mailing Address - State:MA
Mailing Address - Zip Code:01605-2192
Mailing Address - Country:US
Mailing Address - Phone:508-334-5979
Mailing Address - Fax:508-334-5981
Practice Address - Street 1:281 LINCOLN ST
Practice Address - Street 2:DIVISION OF DERMATOLOGY UMASSMEMORIAL
Practice Address - City:WORCESTER
Practice Address - State:MA
Practice Address - Zip Code:01605-2138
Practice Address - Country:US
Practice Address - Phone:508-334-5979
Practice Address - Fax:508-334-5981
Is Sole Proprietor?:No
Enumeration Date:2011-06-23
Last Update Date:2012-08-03
Deactivation Date:
Deactivation Code:
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Provider Licenses
StateLicense IDTaxonomies
MABU5753834 247606207N00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207N00000XAllopathic & Osteopathic PhysiciansDermatology