Individual
DIANE M GOGAN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LIC. AC.
Contact information
Practice address
THE CENTER FOR WELL-BEING, 153A MAIN STREET, EVERETT, MA 02149
(617) 381-0101
Mailing address
30 LAUREL RD, SHARON, MA 02067-2844
(617) 381-0101
Taxonomy
Speciality
Code
Description
License number
State
171100000X
Acupuncturist
Primary
211690
MA
Other
Enumeration date
02/15/2007
Last updated
07/08/2007
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