DoctorDataHub
Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.

DR. DIANA IMMENHAUSEN, D.O.

Active

DR. DIANA IMMENHAUSEN, D.O. is a Family Medicine healthcare provider located in BRIMFIELD, Massachusetts. NPI 1821331604 is currently active in the NPPES registry. Verify at CMS.

Family Medicine · BRIMFIELD, MA

Registration Details

NPI Number
1821331604
Provider Type
Individual
Gender
Female
NPI Issued
Mar 31, 2013 (13.1912134039 yrs)
Last Updated
Feb 2, 2023
Licenses
295025 (MA)
283013 (NY)

Practice Information

Address
255 E OLD STURBRIDGE RD
BRIMFIELD, MA, 010109647
Browse MA providers · Browse ZIP 01010
Phone
4132453389
Primary Specialty
Family Medicine
207Q00000X
Additional Specialty
Family Medicine

Other Family Medicine Providers in BRIMFIELD, MA

Name Credential NPI
KATARZYNA POMIANOWSKI MD 1821062407
YASIR SALEEM D.O. 1700263944
Data sourced from the NPPES National Provider Identifier registry. This information is for informational purposes only and is not a substitute for verifying credentials with the appropriate licensing authority. For official verification, use the NPPES NPI Registry or the relevant state medical board.