Individual
DR. DIANE ELISE RICH
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MD
Contact information
Practice address
332 HANOVER STREET NHC, NORTH END COMMUNITY HEALTH CENTER, BOSTON, MA 02113-1901
(617) 643-8000
(617) 643-8122
Mailing address
PO BOX 9142, MASS GENERAL PHYSICIAN ORGANIZATION, CHARLESTOWN, MA 02129-9142
(617) 724-0287
(617) 726-2894
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
Primary
55623
MA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
055623
TUFTS HEALTH PLAN
MA
05
—
2001080
—
MA
01
—
J11794
BCBS MA
MA
Enumeration date
12/05/2005
Last updated
07/08/2007
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