Individual
DIANE M KOTSAFTIS
Active
Sole proprietor
Provider details
NPI number
Gender
F
Credential
NP
Contact information
Practice address
531 KING STREET, SUITE 3, LITTLETON, MA 01460
(978) 486-9898
(978) 486-9770
Mailing address
531 KING STREET, SUITE 3 PO BOX 1522, LITTLETON, MA 01460
(978) 486-9898
(978) 486-9770
Taxonomy
Speciality
Code
Description
License number
State
363L00000X
Nurse Practitioner
Primary
86736
MA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
61165
PALLON
MA
01
—
NP2166
BCBS
MA
Enumeration date
05/10/2006
Last updated
07/08/2007
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