Individual
ABRAHAM P DIETZ
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
63 CAMP ST, HYANNIS, MA 02601-3006
(508) 778-0203
(508) 778-1155
Mailing address
63 CAMP ST, HYANNIS, MA 02601-3006
(508) 778-0203
(508) 778-1155
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
Primary
044541
MA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
0138304
—
MA
Enumeration date
05/12/2006
Last updated
07/10/2012
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