Individual
DIANE M LONDON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
M.D.
Contact information
Practice address
17 OAK ST, NEEDHAM, MA 02492-2470
(781) 559-0540
(781) 559-0541
Mailing address
PO BOX 187, DOVER, MA 02030-0187
(781) 559-0540
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
Primary
77628
MA
Other
Enumeration date
06/05/2006
Last updated
09/16/2009
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