Provider Demographics
NPI:1902943087
Name:DIGGS, BYRON RADCLIV (MD)
Entity Type:Individual
Prefix:DR
First Name:BYRON
Middle Name:RADCLIV
Last Name:DIGGS
Suffix:
Gender:M
Credentials:MD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:163 CHARLTON ST
Mailing Address - Street 2:
Mailing Address - City:ARLINGTON
Mailing Address - State:MA
Mailing Address - Zip Code:02476-7243
Mailing Address - Country:US
Mailing Address - Phone:617-435-5724
Mailing Address - Fax:
Practice Address - Street 1:163 CHARLTON ST
Practice Address - Street 2:
Practice Address - City:ARLINGTON
Practice Address - State:MA
Practice Address - Zip Code:02476-7243
Practice Address - Country:US
Practice Address - Phone:617-435-5724
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2007-01-30
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MA45641207R00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207R00000XAllopathic & Osteopathic PhysiciansInternal Medicine
Provider Identifiers
StateIdentifier IDID TypeIssuer
MAA66236Medicare ID - Type UnspecifiedI THINK THIS IS MY UPIN N