Active NPIIndividual provider

Dr. Christine A Diedwardo, MD

Plastic Surgery in Burlington, Massachusetts

NPI Number1164479705
Practice location
41 Mall RD, Burlington, MA 01805-0001
Fax
781-744-5215
Last updated
October 29, 2010

Christine Anne Diedwardo is a Plastic Surgery based in Burlington, MA. Christine Anne Diedwardo practices in Burlington, MA and has the professional credentials of MD. The NPI Number for Christine Anne Diedwardo is 1164479705 and holds a License No. 204888 (MA). The current practice location address for Christine Anne Diedwardo is 41 Mall RD, Burlington, MA 01805-0001 and can be reached out via phone at 781-744-5100 and via fax at 781-744-5215.

Provider Profile Details

NPI Number
1164479705
Provider Name
Christine Anne Diedwardo
Credential
MD
Provider Entity Type
Individual
Gender
Female
Address
41 Mall RD, Burlington, MA 01805-0001
Phone Number
781-744-5100
Fax Number
781-744-5215
Primary Taxonomy
Plastic Surgery · 208200000X
Sole Proprietor
No
Provider Enumeration Date
May 28, 2006
Last Update Date
October 29, 2010
NPI Status
Active

Provider Business Practice Location Address Details

Address
41 Mall RD
Burlington, MA 01805-0001
Zip
01805-0001
Phone Number
781-744-5100
Fax Number
781-744-5215
Burlington, MA 01805Get directions →

Provider Business Mailing Address Details

Address
41 Mall RD
Burlington, MA 01805-0001
City
Burlington
State
MA
Zip
01805-0001
Phone Number
781-744-5100
Fax Number
781-744-5215

License Information

License Number
204888
License State
MA
Taxonomy
Plastic Surgery · 208200000X · Primary

Legacy Identifiers

IdentifierTypeStateIssuer
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 Dr. Christine A Diedwardo, MD?

The NPI number of Dr. Christine A Diedwardo, MD is 1164479705. It was assigned on May 28, 2006 and is currently active in the NPPES registry.

What is the specialty of Dr. Christine A Diedwardo, MD?

Dr. Christine A Diedwardo, MD is registered under the primary taxonomy Plastic Surgery (code 208200000X), licensed in MA under license number 204888.

Where does Dr. Christine A Diedwardo, MD practice?

The practice location is 41 Mall RD, Burlington, MA 01805-0001. The office can be reached at 781-744-5100 (phone) or 781-744-5215 (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 1164479705 directly on the NPPES registry website.

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