Individual
MICHELLE DIBLASI
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
D.O.
Contact information
Practice address
800 WASHINGTON ST, BOSTON, MA 02111-1552
(617) 636-1636
Mailing address
800 WASHINGTON STREET BOX PO BOX #1007, BOSTON, MA 02111-1552
Taxonomy
Speciality
Code
Description
License number
State
2084P0800X
Psychiatry Physician
Primary
1376920835
MA
Other
Enumeration date
05/04/2015
Last updated
07/10/2019
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