Individual
DIANA G SEUFERT
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
NP
Contact information
Practice address
850 HARRISON AVE, YACC 4, BOSTON, MA 02118-4001
(617) 414-2080
(617) 414-2090
Mailing address
720 HARRISON AVE, DOB 503, BOSTON, MA 02118-2371
Taxonomy
Speciality
Code
Description
License number
State
363LA2200X
Adult Health Nurse Practitioner
Primary
RN140878
MA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
110086955A
—
MA
Enumeration date
06/13/2008
Last updated
12/01/2014
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