Rodriguez, Diana

Rodriguez, Diana is an individual health care provider with primary practice located at 736 Cambridge St , Brighton MA 02135-2907. She recently has 2 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Maternal & Fetal Medicine, Allopathic & Osteopathic Physicians / Obstetrics & Gynecology. Allopathic & Osteopathic Physicians / Obstetrics & Gynecology is her primary health care specialty. Rodriguez, Diana can be contacted via phone (617) 584-8735.

Contact Information

Primary practice address
736 Cambridge St Brighton MA 02135-2907
Phone: (617) 584-8735
Fax:
Website:
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Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Maternal & Fetal Medicine 207VM0101X 156557 Massachusetts
Allopathic & Osteopathic Physicians / Maternal & Fetal Medicine 207VM0101X D0065072 Maryland
Allopathic & Osteopathic Physicians / Obstetrics & Gynecology 207V00000X 156557 Massachusetts

Profile Details

NPI number 1508849811
LBN Legal business name Rodriguez, Diana
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Nov 22nd, 2005
Last updated Feb 4th, 2019 - about 5 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 1508849811 NPPES
Massachusetts MEDICAID 3192717

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