Individual
ANISE MICHELLE DIAZ
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
830 HARRISON AVE, BOSTON, MA 02118-2905
(617) 638-8124
Mailing address
830 HARRISON AVE, BOSTON, MA 02118-2905
Taxonomy
Speciality
Code
Description
License number
State
207Y00000X
Otolaryngology Physician
Primary
3014847
MA
Other
Enumeration date
03/21/2023
Last updated
07/31/2023
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