Organization
DIANE M KOTSAFTIS
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DIANE M KOTSAFTIS NP (OWNER)
(978) 486-9898
Entity
Organization
Contact information
Practice address
531 KING ST, SUITE 3, LITTLETON, MA 01460-1279
(978) 486-9898
(978) 486-9770
Mailing address
531 KING ST, SUITE 3, LITTLETON, MA 01460-1279
(978) 486-9898
(978) 486-9770
Taxonomy
Speciality
Code
Description
License number
State
363L00000X
Nurse Practitioner
Primary
86736
MA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
NPG002
BLUE CROSS BLUE SHIELD
MA
Enumeration date
05/05/2008
Last updated
05/05/2008
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