Provider Demographics
NPI:1033287859
Name:ENGLISH, DIANE M (MD)
Entity type:Individual
Prefix:DR
First Name:DIANE
Middle Name:M
Last Name:ENGLISH
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Gender:F
Credentials:MD
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Mailing Address - Street 1:11 NEVINS ST
Mailing Address - Street 2:SUITE 403
Mailing Address - City:BRIGHTON
Mailing Address - State:MA
Mailing Address - Zip Code:02135-3514
Mailing Address - Country:US
Mailing Address - Phone:671-254-1247
Mailing Address - Fax:617-787-9246
Practice Address - Street 1:11 NEVINS ST
Practice Address - Street 2:SUITE 403
Practice Address - City:BRIGHTON
Practice Address - State:MA
Practice Address - Zip Code:02135-3514
Practice Address - Country:US
Practice Address - Phone:671-254-1247
Practice Address - Fax:617-787-9246
Is Sole Proprietor?:Yes
Enumeration Date:2006-12-01
Last Update Date:2009-05-20
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Provider Licenses
StateLicense IDTaxonomies
MA36940207X00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207X00000XAllopathic & Osteopathic PhysiciansOrthopaedic Surgery
Provider Identifiers
StateIdentifier IDID TypeIssuer
MA042727874OtherFEDERAL TAX ID
MA0142255Medicaid
MAB73524Medicare UPIN
MA0142255Medicaid