Individual
BARBARA DIVITO
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PA
Contact information
Practice address
212 FREIGHT SHED RD, TEMPLETON DEVELOPMENTAL CENTER, BALDWINVILLE, MA 01436-1516
(978) 939-2161
(978) 939-1110
Mailing address
212 FREIGHT SHED RD, TEMPLETON DEVELOPMENTAL CENTER, BALDWINVILLE, MA 01436-1516
(978) 939-2161
(978) 939-1110
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
681
MA
Other
Enumeration date
05/15/2006
Last updated
08/03/2011
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