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Individual

DR. ANDREW CRAIG DILERNIA

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
M.D.

Contact information

Practice address
3601 SW 160TH AVE, SUITE 250, MIRAMAR, FL 33027-6308
(877) 866-7123
Mailing address
186 CHELSEA ST, APT 3, EAST BOSTON, MA 02128-1763

Taxonomy

Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
73718
MA
207R00000X
Internal Medicine Physician
73718
MA

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
073718
TUFTS HEALTH PLAN
MA
05
3081168
MA
01
60306
HARVARD PILGRIM
MA
01
J11062
BLUE CROSS
MA
Enumeration date
12/13/2005
Last updated
06/10/2013
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