Suda, Diane A.

Suda, Diane A. is an individual health care provider with primary practice located at 200 Springs Rd Bedford Veterans Affairs Medical Center, Dental, Bedford MA 01730-1114. She recently has only one registered license in Dental Providers / Endodontics, which is considered as her primary health care specialty. Suda, Diane A. can be contacted via phone (781) 687-2000.

Contact Information

Primary practice address
200 Springs Rd Bedford Veterans Affairs Medical Center, Dental Bedford MA 01730-1114
Phone: (781) 687-2000
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Dental Providers / Endodontics 1223E0200X 15653 Massachusetts

Profile Details

NPI number 1083683643
LBN Legal business name Suda, Diane A.
Credentials Doctor of Dental Medicine (DMD)
Entity Individual
Sole proprietor 1 No
Enumeration date Mar 16th, 2006
Last updated Aug 8th, 2015 - about 9 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 1083683643 NPPES
Massachusetts Other PH148 HARVARD PILGRIM
Massachusetts Other V06040 HARVARD PILGRIM

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