Healthcare Provider Details
I. General information
NPI: 1518420124
Provider Name (Legal Business Name): DILIGENCE HEALTHCARE LLC
Entity Type: Organization
Gender:
Sole Proprietor:
II. Dates (important events)
Enumeration Date: 04/10/2019
Last Update Date: 07/06/2023
Certification Date: 07/06/2023
Deactivation Date:
Reactivation Date:
III. Provider practice location address
30-40 WESTPARK STREET
BROCKTON MA
02301
US
IV. Provider business mailing address
160 PRATTOWN LN
BRIDGEWATER MA
02324-1135
US
V. Phone/Fax
- Phone: 857-453-9843
- Fax:
- Phone: 857-453-9843
- Fax:
VI. Provider taxonomy
Scope of Practice (Provider specialty)
| # 1 | |
| Primary Taxonomy | Y |
| Taxonomy Code | 2084B0002X |
| Taxonomy | Obesity Medicine (Psychiatry & Neurology) Physician |
| License Number | |
| License Number State | |
VIII. Authorized Official
Name: MR.
ALIYU
OSTER
OJEI
Title or Position: MANAGING DIRECTOR
Credential:
Phone: 857-453-9843