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General NPI Number Information
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NPI Number | 1467443465
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Entity Type | Individual
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Provider Name | ANN FRANCINE DZIALO M.D.
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Gender | Female
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Dates
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Enumeration Date | 10/31/2005
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Last Update Date | 12/08/2010
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Provider Practice Location Address
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Address Line | 1515 COMMONWEALTH AVE.
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City | BRIGHTON
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State | MA
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Zip | 02135-3617
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Country | US
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Telephone | 617-254-1100
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Fax | 617-783-1803
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Provider Business Mailing Address
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Address Line | P.O. BOX 129
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City | DANVERS
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State | MA
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Zip | 01923-0229
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Country | US
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Telephone | 978-762-4888
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Fax | 978-762-3922
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Authorized Official
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Title or Position |
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Name |
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Credential |
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Telephone |
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 208100000X
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Taxonomy Name | Physical Medicine & Rehabilitation Physician
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License Number | 212681
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License Number State | MA
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