Individual
DR. DIANNA MARIE IANDOLO
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
O.D.
Contact information
Practice address
10 GOVE ST, EAST BOSTON, MA 02128-1920
(617) 569-5800
(617) 568-4780
Mailing address
10 GOVE ST, EAST BOSTON, MA 02128-1920
(617) 569-5800
(617) 568-4780
Taxonomy
Speciality
Code
Description
License number
State
152W00000X
Optometrist
Primary
4821
MA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
110088604A
—
MA
Enumeration date
07/14/2010
Last updated
07/13/2016
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