MEDICARE: DR. JOANNE L DALPE M.D.

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	207V00000X	Obstetrics & Gynecology Physician	202959	NY
2	207V00000X	Obstetrics & Gynecology Physician	042.0010091	VT
3	207V00000X	Obstetrics & Gynecology Physician	267758	MA
4	207VX0000X	Obstetrics Physician	267758	MA

General Provider Information

NPI Number	:	1699771402
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	DR. JOANNE L DALPE M.D.

Provider Business Mailing Address
First Line	:	280 CHESTNUT STREET
Second Line	:	2ND FL
City	:	SPRINGFIELD
State	:	MA
Zip	:	01199-1001
Country	:	US
Telephone Number	:	413-794-5700
Fax Number	:

Provider Business Practice Location Address
First Line	:	3300 MAIN STREET
Second Line	:
City	:	SPRINGFIELD
State	:	MA
Zip	:	01107-1112
Country	:	US
Telephone Number	:	413-794-7045
Fax Number	:	413-794-7345

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	06/27/2005
Last Update Date	:	05/01/2017

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