Ms. Diane M Bruessow, PA-C
Physician Assistant, Medical in Florence, Massachusetts
1063552487- Practice location
- 10 Main St Ste 3, Florence, MA 01062-3158
- Phone
- 718-894-0301
- Fax
- 718-894-0301
- Last updated
- February 3, 2025
Diane M Bruessow is a Physician Assistant, Medical based in Florence, MA. Diane M Bruessow practices in Florence, MA and has the professional credentials of PA-C. The NPI Number for Diane M Bruessow is 1063552487 and holds a License No. 004819-1 (NY). The current practice location address for Diane M Bruessow is 10 Main St Ste 3, Florence, MA 01062-3158 and can be reached out via phone at 718-894-0301 and via fax at 718-894-0301.
Provider Profile Details
- NPI Number
- 1063552487
- Provider Name
- Diane M Bruessow
- Credential
- PA-C
- Provider Entity Type
- Individual
- Gender
- Female
- Address
- 10 Main St Ste 3, Florence, MA 01062-3158
- Phone Number
- 718-894-0301
- Fax Number
- 718-894-0301
- Primary Taxonomy
- Physician Assistant, Medical · 363AM0700X
- Sole Proprietor
- Yes
- Provider Enumeration Date
- February 7, 2007
- Last Update Date
- February 3, 2025
- Certification Date
- February 3, 2025
- NPI Status
- Active
Provider Business Practice Location Address Details
- Address
- 10 Main St Ste 3
Florence, MA 01062-3158 - City
- Florence
- State
- Massachusetts
- Zip
- 01062-3158
- Phone Number
- 718-894-0301
- Fax Number
- 718-894-0301
Provider Business Mailing Address Details
- Address
- 123 Main St Unit 60538
Florence, MA 01062-7026 - City
- Florence
- State
- MA
- Zip
- 01062-7026
- Phone Number
- 718-894-0301
- Fax Number
- 718-894-0301
License Information
- License Number (1)
- 004819-1
- License State (1)
- NY
- Taxonomy (1)
- Physician Assistant · 363A00000X
- License Number (2)
- 25MP00141700
- License State (2)
- NJ
- Taxonomy (2)
- Physician Assistant · 363A00000X
- License Number (3)
- PA1010
- License State (3)
- WY
- Taxonomy (3)
- Physician Assistant, Medical · 363AM0700X
- License Number (4)
- PA8022
- License State (4)
- MA
- Taxonomy (4)
- Physician Assistant, Medical · 363AM0700X · Primary
Legacy Identifiers
| Identifier | Type | State | Issuer |
|---|---|---|---|
| No legacy identifiers (Medicaid, Medicare or plan IDs) are on file for this provider. | |||
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Frequently Asked Questions
What is the NPI number of Ms. Diane M Bruessow, PA-C?
The NPI number of Ms. Diane M Bruessow, PA-C is 1063552487. It was assigned on February 7, 2007 and is currently active in the NPPES registry.
What is the specialty of Ms. Diane M Bruessow, PA-C?
Ms. Diane M Bruessow, PA-C is registered under the primary taxonomy Physician Assistant, Medical (code 363AM0700X), licensed in NY under license number 004819-1.
Where does Ms. Diane M Bruessow, PA-C practice?
The practice location is 10 Main St Ste 3, Florence, MA 01062-3158. The office can be reached at 718-894-0301 (phone) or 718-894-0301 (fax).
What is an NPI number?
A National Provider Identifier (NPI) is a unique 10-digit identification number issued to health care providers in the United States by the Centers for Medicare and Medicaid Services (CMS). It is used in HIPAA standard transactions.
How do I verify this NPI record?
This record is sourced from the public NPPES NPI Registry maintained by CMS. You can confirm it by searching NPI 1063552487 directly on the NPPES registry website.