License holder summary

Michael R Disiena is a Board Of Registration In Medicine licensed to practice in Massachusetts. The address on file for Michael R Disiena is Berkshire Surgical Services, 777 North Street, Pittsfield 01201. This licensed professional license is current. The license was granted 01/21/1998 and expired on 06/14/2018.

Massachusetts

Division of Professional Licensure

Michael R Disiena
Board Of Registration In Medicine
License number
155050
Date granted
01/21/1998
Date expires
06/14/2018
Class
Board Of Registration In Medicine
Status
Active
Address
Berkshire Surgical Services, 777 North Street
licensingma.org
ID 41423254
LAST UPDATED 2024-02-23 04:47:32 UTC

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