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Individual

MRS. AMY BETH DITZEL

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
RN, MS, NNP

Contact information

Practice address
55 FOGG RD, WEYMOUTH, MA 02190-2432
(781) 340-8373
(781) 340-3447
Mailing address
55 FOGG RD, WEYMOUTH, MA 02190-2432
(781) 340-8373
(781) 340-3447

Taxonomy

Speciality
Code
Description
License number
State
363LN0000X
Neonatal Nurse Practitioner
Primary
260488
MA

Other

Enumeration date
11/18/2008
Last updated
11/18/2008
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