Individual
AMNA DIWAN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
M.D.
Contact information
Practice address
736 CAMBRIDGE ST, 9TH FLOOR, BRIGHTON, MA 02135
(617) 779-6500
(617) 779-6785
Mailing address
960 MASSACHUSETTS AVENUE, FL 2, BOSTON, MA 02118-2690
Taxonomy
Speciality
Code
Description
License number
State
207X00000X
Orthopaedic Surgery Physician
Primary
264866
MA
207X00000X
Orthopaedic Surgery Physician
L-228429
MA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
110105281A
—
MA
Enumeration date
06/15/2007
Last updated
03/10/2025
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