Individual
MS. DIANE S. ST. ONGE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
NP
Contact information
Practice address
55 LAKE AVE N, DEPARTMENT OF HEMATOLOGY/ONCOLOGY, WORCESTER, MA 01655-0002
(508) 856-2479
Mailing address
PO BOX 415348, BOSTON, MA 02241-5348
Taxonomy
Speciality
Code
Description
License number
State
363L00000X
Nurse Practitioner
Primary
138623
MA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
0715239
—
MA
Enumeration date
10/11/2007
Last updated
05/26/2009
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