Individual
DR. ANU DIDDEE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
M.D.
Contact information
Practice address
1 ESSEX CENTER DRIVE, LAHEY NORTHSHORE, PEABODY, MA 01960-2901
(978) 538-4300
(978) 538-4711
Mailing address
41 MALL ROAD, LAHEY CLINIC, BURLINGTON, MA 01805-0001
(978) 538-4300
(978) 538-4711
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
13582
NH
207R00000X
Internal Medicine Physician
Primary
243582
MA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
00212301
MEDICARE PTAN
NH
05
—
110089615A
—
MA
05
—
30207013
—
NH
Enumeration date
08/20/2006
Last updated
12/14/2011
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