Individual
DIANE PERINO
Active
Sole proprietor
Provider details
NPI number
Gender
F
Credential
P.A.
Contact information
Practice address
100 HIGHLAND ST, SUITE 123, MILTON, MA 02186-3881
(617) 698-0099
(617) 698-4154
Mailing address
PO BOX 268, MILTON, MA 02186-0001
(617) 696-4872
(617) 696-9577
Taxonomy
Speciality
Code
Description
License number
State
363AS0400X
Surgical Physician Assistant
Primary
MA186
MA
Other
Enumeration date
10/31/2005
Last updated
07/08/2007
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