Dr. Michelle Dalencour, MD
Family Medicine in Mattapan, Massachusetts
1073873006- Practice location
- 1575 Blue Hill Ave, Mattapan, MA 02126-2122
- Phone
- 617-296-0061
- Fax
- —
- Last updated
- July 18, 2016
Michelle Dalencour is a Family Medicine based in Mattapan, MA. Michelle Dalencour practices in Mattapan, MA and has the professional credentials of MD. The NPI Number for Michelle Dalencour is 1073873006 and holds a License No. 263506 (MA). The current practice location address for Michelle Dalencour is 1575 Blue Hill Ave, Mattapan, MA 02126-2122 and can be reached out via phone at 617-296-0061.
Provider Profile Details
- NPI Number
- 1073873006
- Provider Name
- Michelle Dalencour
- Credential
- MD
- Provider Entity Type
- Individual
- Gender
- Female
- Address
- 1575 Blue Hill Ave, Mattapan, MA 02126-2122
- Phone Number
- 617-296-0061
- Primary Taxonomy
- Family Medicine · 207Q00000X
- Sole Proprietor
- No
- Provider Enumeration Date
- May 23, 2012
- Last Update Date
- July 18, 2016
- NPI Status
- Active
Provider Business Practice Location Address Details
- Address
- 1575 Blue Hill Ave
Mattapan, MA 02126-2122 - City
- Mattapan
- State
- Massachusetts
- Zip
- 02126-2122
- Phone Number
- 617-296-0061
Provider Business Mailing Address Details
- Address
- 1575 Blue Hill Ave
Mattapan, MA 02126-2122 - City
- Mattapan
- State
- MA
- Zip
- 02126-2122
- Phone Number
- 617-296-0061
License Information
- License Number
- 263506
- License State
- MA
- Taxonomy
- Family Medicine · 207Q00000X · Primary
Legacy Identifiers
| Identifier | Type | State | Issuer |
|---|---|---|---|
| No legacy identifiers (Medicaid, Medicare or plan IDs) are on file for this provider. | |||
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Frequently Asked Questions
What is the NPI number of Dr. Michelle Dalencour, MD?
The NPI number of Dr. Michelle Dalencour, MD is 1073873006. It was assigned on May 23, 2012 and is currently active in the NPPES registry.
What is the specialty of Dr. Michelle Dalencour, MD?
Dr. Michelle Dalencour, MD is registered under the primary taxonomy Family Medicine (code 207Q00000X), licensed in MA under license number 263506.
Where does Dr. Michelle Dalencour, MD practice?
The practice location is 1575 Blue Hill Ave, Mattapan, MA 02126-2122. The office can be reached at 617-296-0061 (phone).
What is an NPI number?
A National Provider Identifier (NPI) is a unique 10-digit identification number issued to health care providers in the United States by the Centers for Medicare and Medicaid Services (CMS). It is used in HIPAA standard transactions.
How do I verify this NPI record?
This record is sourced from the public NPPES NPI Registry maintained by CMS. You can confirm it by searching NPI 1073873006 directly on the NPPES registry website.