Individual
DIANA M. MUJALLI
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MD
Contact information
Practice address
135 GOLD STAR BLVD, WORCESTER, MA 01606-2738
(508) 459-6400
(509) 549-5618
Mailing address
135 GOLD STAR BLVD, WORCESTER, MA 01606-2738
Taxonomy
Speciality
Code
Description
License number
State
2084P0800X
Psychiatry Physician
Primary
277429
MA
390200000X
Student in an Organized Health Care Education/Training Program
—
—
Other
Enumeration date
04/23/2014
Last updated
04/13/2022
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