Individual
DR. MARIA VYTVYTSKA-DIENHART
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
M.D.
Contact information
Practice address
1 GENERAL ST, ANDREA SULLIVAN-DIRECTOR OF MANAGED CARE, LAWRENCE, MA 01841-2961
(978) 683-4000
(978) 946-8017
Mailing address
1 GENERAL ST, ANDREA SULLIVAN-DIRECTOR OF MANAGED CARE, LAWRENCE, MA 01841-2961
(978) 683-4000
(978) 946-8017
Taxonomy
Speciality
Code
Description
License number
State
207PE0004X
Emergency Medical Services (Emergency Medicine) Physician
Primary
71324
MA
Other
Enumeration date
12/09/2005
Last updated
02/04/2011
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