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Individual

DR. CHRISTINE ANNE DIEDWARDO

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
M.D.

Contact information

Practice address
41 MALL RD, BURLINGTON, MA 01805-0001
(781) 744-5100
(781) 744-5215
Mailing address
41 MALL RD, BURLINGTON, MA 01805-0001
(781) 744-5100
(781) 744-5215

Taxonomy

Speciality
Code
Description
License number
State
208200000X
Plastic Surgery Physician
Primary
204888
MA

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
0151246
MA
05
110004228A
MA
Enumeration date
05/28/2006
Last updated
10/29/2010
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