Doctor Name: | DIANA ALAME |
NPI Number: | 1194919605 |
Entity Type Code: | Individual (1) |
Gender: | F |
Credentials: | MD |
License Number: | 01065323A |
Business Practice Address: | 55 Fruit St Warren Bldg 225 Boston, MA - 021142621 |
Business Phone Number: | 6177262967 |
Business Fax Number: | |
Mailing Address: | 55 Fruit St, Warren Bldg 225 BOSTON |
State: | MA |
Postal Code: | 021142621 |
Phone Number: | 6177262967 |
Fax Number: | |
NPI Enumeration Date: | 08/29/2007 |
NPI Last Update Date: | 09/18/2015 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 208D00000X |
License Number: | 01065323A |
Healthcare Provider Taxonomy: (Secondary) | N |
State: | IN |
Taxonomy Type: | Allopathic & Osteopathic Physicians |
Taxonomy Classification: | General Practice |
Taxonomy Specialization: | |
Taxonomy Definition: |