Basic Information
| Provider Information | |||||||||
| NPI: | 1881980365 | ||||||||
| EntityType: | 1 | ||||||||
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| OrganizationName: | |||||||||
| LastName: | DELANO | ||||||||
| FirstName: | SOPHIA | ||||||||
| MiddleName: | L. | ||||||||
| NamePrefix: | DR. | ||||||||
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| Credential: | MD, MPP | ||||||||
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| Mailing Information | |||||||||
| Address1: | 281 LINCOLN STREET | ||||||||
| Address2: | DIVISION OF DERMATOLOGY UMASSMEMORIAL | ||||||||
| City: | WORCESTER | ||||||||
| State: | MA | ||||||||
| PostalCode: | 016052192 | ||||||||
| CountryCode: | US | ||||||||
| TelephoneNumber: | 5083345979 | ||||||||
| FaxNumber: | 5083345981 | ||||||||
| Practice Location | |||||||||
| Address1: | 281 LINCOLN ST | ||||||||
| Address2: | DIVISION OF DERMATOLOGY UMASSMEMORIAL | ||||||||
| City: | WORCESTER | ||||||||
| State: | MA | ||||||||
| PostalCode: | 016052138 | ||||||||
| CountryCode: | US | ||||||||
| TelephoneNumber: | 5083345979 | ||||||||
| FaxNumber: | 5083345981 | ||||||||
| Other Information | |||||||||
| ProviderEnumerationDate: | 06/23/2011 | ||||||||
| LastUpdateDate: | 08/03/2012 | ||||||||
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| ProviderGenderCode: | F | ||||||||
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| IsSoleProprietor: | N | ||||||||
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Taxonomy Information
| Taxonomy | License | State | Switch | TaxonomyGroup | TaxonomyType | TaxonomyClass | SubSpecialty | 207N00000X | BU5753834 247606 | MA | Y | Allopathic & Osteopathic Physicians | Dermatology |
No ID Information.