Organization
DIANE R. DUBE LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MS. DIANE R DUBE RDN, LDN, CDECES (OWNER)
(617) 240-6383
Entity
Organization
Contact information
Practice address
250 PARADISE ROAD, SWAMPSCOTT, MA 01907
(617) 240-6383
(978) 745-7982
Mailing address
PO BOX 8465, SALEM, MA 01971-8465
(617) 240-6383
(978) 745-7982
Taxonomy
Speciality
Code
Description
License number
State
133V00000X
Registered Dietitian
Primary
748
MA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
1455252
CIGNA
MA
01
—
39433
HARVARD PILGRIM HEALTH CA
MA
01
—
7388195
AETNA
TX
01
—
798601
TVFTS HEALTH PLAN
MA
01
—
L00036
BLUE CROSS BLUE SHIELD
MA
01
—
LG0031
BLUE CROSS BLUE SHIELD
MA
Enumeration date
01/22/2007
Last updated
07/22/2020
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