Provider Demographics
NPI:1851367387
Name:FLAMBURIS, DIANE M (MD)
Entity Type:Individual
Prefix:DR
First Name:DIANE
Middle Name:M
Last Name:FLAMBURIS
Suffix:
Gender:F
Credentials:MD
Other - Prefix:
Other - First Name:
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Mailing Address - Street 1:330 BORTHWICK AVE
Mailing Address - Street 2:SUITE 205
Mailing Address - City:PORTSMOUTH
Mailing Address - State:NH
Mailing Address - Zip Code:03801-4174
Mailing Address - Country:US
Mailing Address - Phone:603-436-6115
Mailing Address - Fax:603-433-5567
Practice Address - Street 1:330 BORTHWICK AVE
Practice Address - Street 2:SUITE 205
Practice Address - City:PORTSMOUTH
Practice Address - State:NH
Practice Address - Zip Code:03801-4174
Practice Address - Country:US
Practice Address - Phone:603-436-6115
Practice Address - Fax:603-433-5567
Is Sole Proprietor?:No
Enumeration Date:2006-02-24
Last Update Date:2009-11-13
Deactivation Date:
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Provider Licenses
StateLicense IDTaxonomies
NHNH7116207R00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207R00000XAllopathic & Osteopathic PhysiciansInternal Medicine
Provider Identifiers
StateIdentifier IDID TypeIssuer
NH00000987Medicaid
NH861702Medicare PIN
NH00000987Medicaid