Individual
DR. DIANE LOUISE SOFIA
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
DC
Contact information
Practice address
314 MAIN ST, MEDFORD, MA 02155-6160
(781) 396-1070
Mailing address
PO BOX 156, MERRIMAC, MA 01860-0156
(978) 697-3781
Taxonomy
Speciality
Code
Description
License number
State
111N00000X
Chiropractor
Primary
2055
MA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
Y36578
BC & BS
MA
Enumeration date
10/28/2006
Last updated
07/08/2007
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