Diana Marina Brainard MD

NPI 1093705667 - Internal Medicine - 207RI0200X

NPI Details
NPI 1093705667
Gender Female
Enumeration Date 10/25/2005
Last Updated 07/08/2007
Entity Type Individual
Active Over 11 years ago
Practice Location
55 FRUIT ST
FND 8 INFECTIOUS DISEASE ASSOCIATES
BOSTON MA, 02114-2621, US
Phone (617) 724-9060
Fax (617) 726-5411
Business Location
PO BOX 9142
MASS GENERAL PHYSICIAN ORGANIZATION
CHARLESTOWN MA, 02129-9142, US
Phone (617) 724-0287
Fax (617) 726-2894
Toxanomy
Taxonomy Code 207RI0200X
License State Massachusetts
License Number 160463
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According to our database, Dr. Diana Marina Brainard MD NPI is 1093705667, taxonomy code is 207RI0200X and license number is 160463, license state is located at Massachusetts. Diana Marina Brainard MD physically located at 55 Fruit St, Boston MA, 02114-2621. NPI Number Diana Marina Brainard MD has the Individual type.

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1093705667 NPI number is provided on an as is basis without warranty of any kind. 1093705667 is maintained by the National Plan & Provider Enumeration System. The contents of Diana Marina Brainard MD are for informational purposes only.