Individual
DR. LAURIE A. DIMARIA
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MD
Contact information
Practice address
28 RIVERSIDE DR, PEMBROKE, MA 02359-1937
(781) 826-8065
(781) 826-8043
Mailing address
28 RIVERSIDE DR, PEMBROKE, MA 02359-1937
(781) 826-8065
(781) 826-8043
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
75508
MA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
075508
TUFTS HEALTH PLAN
MA
05
—
3098915
—
MA
01
—
710638
HARVARD PILGRIM
MA
01
—
J12414
BLUE CROSS BLUE SHIELD
MA
Enumeration date
12/29/2005
Last updated
06/19/2008
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