MS. Diane M Bruessow, PA-C

NPI #1063552487 in Florence, Massachusetts

Provider Information

NPI Number: 1063552487
Entity Type: Individual
Name: MS. Diane M Bruessow, PA-C
Gender: Not Specified
Sole Proprietor: Yes
Primary Specialty: Physician Assistant
Credential: PA-C
Enumeration Date: Feb 7, 2007
Last Updated: Feb 3, 2025

Practice Location

Address: 10 MAIN ST STE 3
City: Florence
State: Massachusetts
ZIP Code: 01062-3158
Phone: (718) 894-0301

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Physician Assistant	363A00000X	Primary
Physician Assistant - Medical — Medical	363AM0700X

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