Organization
DZIALO PHYSIATRY CONSULTING PLLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
ANN FRANCINE DZIALO M.D. (PHYSICIAN)
(978) 302-8855
Entity
Organization
Contact information
Practice address
1515 COMMONWEALTH AVE., BRIGHTON, MA 02135-3617
(617) 254-1100
(617) 783-1813
Mailing address
P.O. BOX 129, DANVERS, MA 01923-0229
(978) 762-4888
(978) 762-3922
Taxonomy
Speciality
Code
Description
License number
State
208100000X
Physical Medicine & Rehabilitation Physician
Primary
212681
MA
208100000X
Physical Medicine & Rehabilitation Physician
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
0156841
—
MA
Enumeration date
08/20/2008
Last updated
12/08/2010
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