Individual
DIANA SYLVIA EDWARDS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
136 HARRISON AVE RM 510A, BOSTON, MA 02111-1817
(617) 636-0975
Mailing address
835 CENTRE ST, JAMAICA PLAIN, MA 02130-2720
(562) 668-0893
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
—
—
Other
Enumeration date
01/01/2024
Last updated
01/01/2024
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