Individual
DIEGO ANTONIO COVARRUBIAS
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
55 FRUIT ST, MASSACHUSETTS GENERAL HOPSITAL WHITE BUILDING ROOM 270, BOSTON, MA 02114-2621
(617) 726-8396
Mailing address
210 ERIE ST UNIT 2, CAMBRIDGE, MA 02139-3922
(347) 276-8065
Taxonomy
Speciality
Code
Description
License number
State
2085R0202X
Diagnostic Radiology Physician
Primary
242681
MA
2085R0204X
Vascular & Interventional Radiology Physician
242681
MA
390200000X
Student in an Organized Health Care Education/Training Program
—
—
Other
Enumeration date
05/27/2009
Last updated
12/01/2021
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