Organization
LONDON MEDICAL GROUP, LLC
Active
Organization
LONDON MEDICAL GROUP, LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DIANE LONDON MD (PRESIDENT)
(617) 277-8770
Entity
Organization
Contact information
Practice address
17 OAK ST, NEEDHAM, MA 02492-2470
(781) 559-0540
Mailing address
PO BOX 187, DOVER, MA 02030-0187
(508) 785-0899
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
Primary
—
MA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
1609026871
TUFTS
MA
05
—
9742191
—
MA
01
—
M19587
BCBS
MA
Enumeration date
09/24/2008
Last updated
08/31/2009
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