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Individual

DR. DIANA RODRIGUEZ

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
M.D.

Contact information

Practice address
736 CAMBRIDGE ST, BRIGHTON, MA 02135-2907
(617) 584-8735
Mailing address
960 MASSACHUSETTS AVE STE 2, BOSTON, MA 02118-2690
(617) 414-4505

Taxonomy

Speciality
Code
Description
License number
State
207V00000X
Obstetrics & Gynecology Physician
Primary
156557
MA
207VM0101X
Maternal & Fetal Medicine Physician
156557
MA
207VM0101X
Maternal & Fetal Medicine Physician
D0065072
MD

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
3192717
MA
Enumeration date
11/22/2005
Last updated
03/17/2025
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