Individual
DIANA ZANTOS BEAUPRE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
M.D.
Contact information
Practice address
2 ESSEX CENTER DR, RHEUMATOLOGY, PEABODY, MA 01960-2902
(978) 977-4110
(978) 977-4149
Mailing address
147 MILK ST, PROVIDER ENROLLMENT - 9TH FLOOR, BOSTON, MA 02109-4806
(617) 559-8374
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
71795
MA
207RR0500X
Rheumatology Physician
Primary
71795
MA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
3072029
—
MA
Enumeration date
05/17/2006
Last updated
06/09/2011
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