Individual
DR. LUZ EVANGELINE SALUD DIZON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
M.D.
Contact information
Practice address
235 N PEARL ST, GOOD SAMARITAN HOSPITAL, BROCKTON, MA 02301-1794
(508) 427-2525
Mailing address
PO BOX 260, MOAK ASSOCIATES, WESTBOROUGH, MA 01581-0260
(508) 898-8650
(508) 870-9397
Taxonomy
Speciality
Code
Description
License number
State
2084P0800X
Psychiatry Physician
Primary
81052
MA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
000000026002
HEALTHNET/BMC
MA
01
—
0026396
NEIGHBORHOOD HEALTH PLAN
MA
01
—
J24338
FEDERAL BC/BS
MA
05
—
O159140
—
MA
Enumeration date
09/19/2005
Last updated
05/02/2008
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