Provider Demographics
NPI:1528183456
Name:DIGIOIA, DIANA L (LIC AC)
Entity Type:Individual
Prefix:
First Name:DIANA
Middle Name:L
Last Name:DIGIOIA
Suffix:
Gender:F
Credentials:LIC AC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:775 MAIN ST
Mailing Address - Street 2:SUITE A-2
Mailing Address - City:WEST DENNIS
Mailing Address - State:MA
Mailing Address - Zip Code:02670-2700
Mailing Address - Country:US
Mailing Address - Phone:508-398-7770
Mailing Address - Fax:
Practice Address - Street 1:775 MAIN ST
Practice Address - Street 2:SUITE A-2
Practice Address - City:WEST DENNIS
Practice Address - State:MA
Practice Address - Zip Code:02670-2700
Practice Address - Country:US
Practice Address - Phone:508-398-7770
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2007-03-20
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MA494171100000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes171100000XOther Service ProvidersAcupuncturist