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Individual

DIANE PINGETON

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
MD

Contact information

Practice address
100 MLK JR BLVD, STE 300, WORCESTER, MA 01608-1209
(508) 755-4861
(508) 752-1392
Mailing address
100 MLK JR. BOULEVARD, STE 300, WORCESTER, MA 01608
(508) 755-4861
(508) 752-1392

Taxonomy

Speciality
Code
Description
License number
State
207V00000X
Obstetrics & Gynecology Physician
Primary
155890
MA

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
0017872
NEIGHBORHOOD HEALTH
01
137817
HARVARD PILGRIM
01
155890
TUFTS
05
3186253
MA
01
34464
FALLON
01
98878703
NETWORK HEALTH
01
J19071
BCBS
MA
Enumeration date
05/15/2006
Last updated
11/02/2011
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