Individual
MS. DIANE M ASSATLY-ROCHE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
PAC
Contact information
Practice address
150 S. HUNTINGTON AVE, BOSTON VA HOSPITAL, BOSTON, MA 02130
(617) 232-9500
Mailing address
43 TYNDALE STREET, ROSLINDALE, MA 02131
(617) 232-9500
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
791
MA
Other
Enumeration date
09/28/2006
Last updated
07/08/2007
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