Individual
DIANE RAHMAN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
M.D.
Contact information
Practice address
27 HEYWOOD ST, GARDNER, MA 01440-1321
(978) 632-4097
Mailing address
27 HEYWOOD ST, GARDNER, MA 01440-1321
(978) 632-4097
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
37506
MA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
2032767
—
MA
Enumeration date
03/10/2006
Last updated
03/16/2010
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