Individual
CHARLES L DIANA
Active
Sole proprietor
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
66 LEWIS BAY RD, HYANNIS, MA 02601-5210
(508) 862-7813
(774) 552-6924
Mailing address
66 LEWIS BAY RD, HYANNIS, MA 02601-5210
(508) 862-7813
(774) 552-6924
Taxonomy
Speciality
Code
Description
License number
State
2085R0202X
Diagnostic Radiology Physician
Primary
057033
MA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
3019314
—
MA
Enumeration date
05/20/2006
Last updated
07/08/2007
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