Individual
DR. KURT A DIEBOLD
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
235 WOODLAND N FL 2, LYNN, MA 01904-1414
(781) 715-6608
Mailing address
26 WHITNEY TAVERN RD, WESTON, MA 02493-2136
(774) 270-2799
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
Primary
213606
MA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
0172863
—
MA
05
—
110005966A
—
MA
Enumeration date
02/24/2006
Last updated
01/19/2025
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