Individual
DIANA WISE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
MD
Contact information
Practice address
330 BROOKLINE AVE, BOSTON, MA 02215-5400
(617) 667-7000
Mailing address
330 BROOKLINE AVE, BOSTON, MA 02215-5400
(617) 667-7000
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
293468
MA
208M00000X
Hospitalist Physician
Primary
1023208
MA
Other
Enumeration date
06/22/2022
Last updated
07/02/2025
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