Abraczinskas, Diane Renee
Abraczinskas, Diane Renee is an individual health care provider with primary practice located at 55 Fruit St Blk 4 Gastroenterology Associates, Boston MA 02114-2621. She recently has only one registered license in Allopathic & Osteopathic Physicians / Gastroenterology, which is considered as her primary health care specialty. Abraczinskas, Diane Renee can be contacted via phone (617) 724-6044.Contact Information
Primary practice address
55 Fruit St Blk 4 Gastroenterology Associates
Boston MA 02114-2621
Phone: (617) 724-6044
Fax: (617) 724-6832
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Gastroenterology | 207RG0100X | 157389 | Massachusetts |
Profile Details
| NPI number | 1811988488 |
|---|---|
| LBN Legal business name | Abraczinskas, Diane Renee |
| Credentials | Doctor of Medicine (MD) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Nov 2nd, 2005 |
| Last updated | Jul 8th, 2007 - about 17 years ago |
1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1811988488 | NPPES |
| Massachusetts | MEDICAID | 3197751 | |
| Massachusetts | Other | 157389 | |
| Massachusetts | Other | J21513 |
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