MEDICARE: DIANE BOTTARY DC

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
1	111N00000X	Chiropractor	2620	MA

Other Identifiers

#	Provider Identifier	Provider Identifier Type	Provider Identifier State	Provider Identifier Issuer
1	Y37008	OTHER	MA	BCBSMA
2	AA8919	OTHER	MA	HARVARD PILGRIM HEALTH

General Provider Information

NPI Number	:	1639198765
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	DIANE BOTTARY DC

Provider Business Mailing Address
First Line	:	24 DEWEY RD
Second Line	:
City	:	BRAINTREE
State	:	MA
Zip	:	02184-1204
Country	:	US
Telephone Number	:	781-603-4389
Fax Number	:

Provider Business Practice Location Address
First Line	:	4458 WASHINGTON ST
Second Line	:
City	:	ROSLINDALE
State	:	MA
Zip	:	02131-3440
Country	:	US
Telephone Number	:	617-323-4377
Fax Number	:	617-323-8077

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	07/19/2006
Last Update Date	:	02/09/2023

Similar Medicare Providers

1073757050 — HARRY P. TREON INC
Practice Location Address:

4452 WASHINGTON ST
ROSLINDALE, MA
02131-3440

Practice Phone: 617-323-6020
Practice Fax: 617-327-2977

1851959126 — DR. CHRISTOPHER TREON DMD
Practice Location Address:

4452 WASHINGTON ST
ROSLINDALE, MA
02131-3440

Practice Phone: 617-323-6020
Practice Fax:

1770416422 — PATRICIA DE LOS SANTOS
Practice Location Address:

1082 CANTERBURY ST
ROSLINDALE, MA
02131-4672

Practice Phone: 857-293-3034
Practice Fax:

1982607917 — FREDERICK ROWLAND MD
Practice Location Address:

1200 CENTRE ST , DEPARTMENT OF MEDICINE
ROSLINDALE, MA
02131-1000

Practice Phone: 617-363-8293
Practice Fax: 617-363-8929

1205834496 — DR. JUDITH R DARROW OD
Practice Location Address:

4199 WASHINGTON ST UNIT 2
ROSLINDALE, MA
02131-1733

Practice Phone: 617-323-7300
Practice Fax:

1821080896 — RONALD J NASIF M.D.
Practice Location Address:

968 SOUTH ST
ROSLINDALE, MA
02131-2314

Practice Phone: 617-323-3334
Practice Fax: 617-327-9330

Directions to “ DIANE BOTTARY DC” Practice Location

Language	Start Address	Practice Location

These directions are for planning purposes only. You may find that construction projects, traffic, or other events may cause road conditions to differ from the map results.

Copyright © 2007-2026 (Powered by Swiss Vault Engine), all rights reserved. HIPAA liability, trademark, document use and software licensing rules apply. All registered trademarks, used in the content, are the property of their owners. Your interactions with this site are in accordance with our Terms of Use and Privacy Policy.