Provider Demographics
NPI:1215994488
Name:OBLER, DITA (MS, CGC)
Entity type:Individual
Prefix:
First Name:DITA
Middle Name:
Last Name:OBLER
Suffix:
Gender:F
Credentials:MS, CGC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:318 BROOKLINE ST
Mailing Address - Street 2:UNIT 2
Mailing Address - City:CAMBRIDGE
Mailing Address - State:MA
Mailing Address - Zip Code:02139-4812
Mailing Address - Country:US
Mailing Address - Phone:617-869-7567
Mailing Address - Fax:
Practice Address - Street 1:318 BROOKLINE ST
Practice Address - Street 2:UNIT 2
Practice Address - City:CAMBRIDGE
Practice Address - State:MA
Practice Address - Zip Code:02139-4812
Practice Address - Country:US
Practice Address - Phone:617-869-7567
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2006-04-28
Last Update Date:2008-11-24
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes170300000XOther Service ProvidersGenetic Counselor, MS