Individual
DR. DIANA VANESSA PERRY
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
MD
Contact information
Practice address
55 FOGG ROAD, SOUTH SHORE MEDICAL CENTER, SOUTH WEYMOUTH, MA 02190
(781) 340-8373
(781) 340-3699
Mailing address
9 CORTLAND DR, SHARON, MA 02067-3311
(781) 718-4934
Taxonomy
Speciality
Code
Description
License number
State
208000000X
Pediatrics Physician
Primary
155376
MA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
0102440
—
MA
01
—
155376
TUFTS HEALTH PLAN
MA
Enumeration date
11/03/2005
Last updated
02/23/2015
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