Individual provider · Type 1 NPI

Diane M. Bruessow, PA-C

Medical Physician Assistant · Florence, MA

NPI number 1063552487 Active

Practice location

10 Main St Ste 3
Florence, MA 01062-3158

Call (718) 894-0301 Map

Fax (718) 894-0301

Mailing address

123 Main St Unit 60538
Florence, MA 01062-7026

Specialties and licenses

TaxonomyCodeLicense
Physician Assistant 363A00000X004819-1 (NY)
Physician Assistant 363A00000X25MP00141700 (NJ)
Medical Physician Assistant 363AM0700XPA1010 (WY)
Medical Physician Assistant Primary 363AM0700XPA8022 (MA)

Medical Physician Assistant: Definition to come...

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About NPI 1063552487

Diane M. Bruessow, PA-C's National Provider Identifier is 1063552487, issued on Feb 7, 2007. The primary taxonomy on file is Medical Physician Assistant (363AM0700X), and the practice location is in Florence, MA. The record was last updated on Feb 3, 2025.