Individual
DIEGO S. ILLANES
Active
Individual
DIEGO S. ILLANES
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
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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