Individual
MARIA S DIBNER
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
M.D., MPH
Contact information
Practice address
123 SUMMER ST, WORCESTER, MA 01608-1216
(508) 852-0600
Mailing address
123 SUMMER ST, WORCESTER, MA 01608-1216
(508) 852-0600
Taxonomy
Speciality
Code
Description
License number
State
2084N0400X
Neurology Physician
Primary
255261
MA
390200000X
Student in an Organized Health Care Education/Training Program
240646
MA
Other
Enumeration date
07/08/2009
Last updated
07/03/2014
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