# DZIALO PHYSIATRY CONSULTING PLLC

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- **Entity:** Organization
- **Status:** Active
- **Organization subpart:** No

## Provider details

- **NPI number:** 1992952055
- **Authorized official:** ANN FRANCINE DZIALO M.D. (PHYSICIAN)
- **Authorized official phone:** (978) 302-8855

## Contact information

- **Practice address:** 1515 COMMONWEALTH AVE., BRIGHTON, MA 02135-3617
- **Practice address phone:** (617) 254-1100
- **Practice address fax:** (617) 783-1813
- **Mailing address:** P.O. BOX 129, DANVERS, MA 01923-0229
- **Mailing address phone:** (978) 762-4888
- **Mailing address fax:** (978) 762-3922

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 208100000X | Physical Medicine & Rehabilitation Physician | 212681 | MA | Yes |
| 208100000X | Physical Medicine & Rehabilitation Physician | — | NULL | — |
| 208100000X | Physical Medicine & Rehabilitation Physician | — | — | — |

## Other

- **Enumeration date:** 08/20/2008
- **Last updated:** 12/08/2010