Palmer, Diana Alison

Palmer, Diana Alison is an individual health care provider with primary practice located at 300 Ocean Ave Rhc, Revere MA 02151-3675. She recently has only one registered license in Allopathic & Osteopathic Physicians / Pediatrics, which is considered as her primary health care specialty. Palmer, Diana Alison can be contacted via phone (781) 485-6024.

Contact Information

Primary practice address
300 Ocean Ave Rhc Revere MA 02151-3675
Phone: (781) 485-6024
Fax: (781) 485-6391
Website:
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Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Pediatrics 208000000X 77453 Massachusetts

Profile Details

NPI number 1851382147
LBN Legal business name Palmer, Diana Alison
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Nov 4th, 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.

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Identifiers

StateTypeNumberIssuer
All States NPI 1851382147 NPPES
Massachusetts Other J13844 BCBS MA
Massachusetts Other 077453 BCBS MA
Massachusetts MEDICAID 3109585 BCBS MA

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