Individual
DR. DIEGO D BOTERO
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
300 LONGWOOD AVE, BOSTON, MA 02115-5724
(617) 355-2180
(617) 730-0134
Mailing address
466 SHAWMUT AVE, UNIT #1, BOSTON, MA 02118-3836
(617) 267-0722
Taxonomy
Speciality
Code
Description
License number
State
208000000X
Pediatrics Physician
213823
MA
2080P0205X
Pediatric Endocrinology Physician
Primary
213823
MA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
0177580
—
MA
Enumeration date
10/26/2006
Last updated
02/06/2012
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