Individual
DIANA UGLOVA
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PA-C
Contact information
Practice address
1400 VFW PKWY, VA MC (112), WEST ROXBURY, MA 02132-4927
(857) 203-6200
(857) 203-5738
Mailing address
1400 VFW PARKWAY, VA MC (112), WEST ROXBURY, MA 02132
(857) 203-6200
(857) 203-5738
Taxonomy
Speciality
Code
Description
License number
State
363AS0400X
Surgical Physician Assistant
Primary
2118
MA
Other
Enumeration date
09/28/2006
Last updated
09/13/2013
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