Abraczinskas, Diane Renee

Abraczinskas, Diane Renee is an individual health care provider with primary practice located at 55 Fruit St Blk 4 Gastroenterology Associates, Boston MA 02114-2621. She recently has only one registered license in Allopathic & Osteopathic Physicians / Gastroenterology, which is considered as her primary health care specialty. Abraczinskas, Diane Renee can be contacted via phone (617) 724-6044.

Contact Information

Primary practice address
55 Fruit St Blk 4 Gastroenterology Associates Boston MA 02114-2621
Fax: (617) 724-6832
Website:

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Gastroenterology 207RG0100X 157389 Massachusetts

Profile Details

NPI number 1811988488
LBN Legal business name Abraczinskas, Diane Renee
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Nov 2nd, 2005
Last updated Jul 8th, 2007 - about 19 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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Identifiers

StateTypeNumberIssuer
All States NPI 1811988488 NPPES
Massachusetts MEDICAID 3197751
Massachusetts Other 157389
Massachusetts Other J21513

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