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NPI Code Detail

MEDICARE: DR. DIANNE E SACCO MD

MEDICARE: DR. DIANNE E SACCO MD
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
1208800000XUrology Physician213542MA

Other Identifiers

# Provider Identifier Provider Identifier Type Provider Identifier State Provider Identifier Issuer
1J25979OTHERMABCBS MA
2MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program
3792333OTHERMATUFTS HEALTH PLAN

General Provider Information

NPI Number : 1013994599
Entity Type Code : Individual
Provider Name (Legal Business Name) : DR. DIANNE E SACCO MD
Provider Business Mailing Address
First Line : PO BOX 9142
Second Line :
City : CHARLESTOWN
State : MA
Zip : 02129-9142
Country : US
Telephone Number : 617-724-0287
Fax Number : 617-726-2894
Provider Business Practice Location Address
First Line : 55 FRUIT ST
Second Line : DEPT OF UROLOGY
City : BOSTON
State : MA
Zip : 02114-2621
Country : US
Telephone Number : 617-726-3760
Fax Number : 617-726-6131
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 12/27/2005
Last Update Date : 12/15/2025

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Directions to “ DR. DIANNE E SACCO MD” Practice Location

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