# AUDREY DIMAURO

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- **Entity:** Individual
- **Status:** Active
- **Sole proprietor:** No

## Provider details

- **NPI number:** 1871941039
- **Gender:** F
- **Credential:** M.D.

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 208000000X | Pediatrics Physician | 267372 | MA | — |
| 208000000X | Pediatrics Physician | 283759 | MA | — |
| 2084P0800X | Psychiatry Physician | 283759 | MA | — |
| 2084P0804X | Child & Adolescent Psychiatry Physician | 283759 | MA | Yes |

## Other

- **Enumeration date:** 05/28/2016
- **Last updated:** 07/21/2021