Individual
MARGO DIANA NATHAN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
M.D.
Contact information
Practice address
221 LONGWOOD AVE, BOSTON, MA 02115-5804
(617) 732-6753
Mailing address
221 LONGWOOD AVE, BOSTON, MA 02115-5804
(617) 732-6753
Taxonomy
Speciality
Code
Description
License number
State
2084P0800X
Psychiatry Physician
Primary
266619
MA
Other
Enumeration date
04/01/2012
Last updated
08/16/2016
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