Individual
DIEGO S. ILLANES
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
115 WATER ST STE 105, MILFORD, MA 01757-3015
(774) 462-3380
(508) 473-1027
Mailing address
9 INDUSTRIAL RD STE 5, MILFORD, MA 01757-3736
(508) 473-1480
Taxonomy
Speciality
Code
Description
License number
State
207V00000X
Obstetrics & Gynecology Physician
235406
MA
207VF0040X
Urogynecology and Reconstructive Pelvic Surgery (Obstetrics & Gynecology) Physician
Primary
235406
MA
Other
Enumeration date
01/03/2007
Last updated
11/08/2024
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