Individual
DIETRICH W.L. SCHULTZE
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
736 CAMBRIDGE ST, BRIGHTON, MA 02135
(617) 789-2762
Mailing address
960 MASSACHUSETTS AVE, FL 2, BOSTON, MA 02118-2690
Taxonomy
Speciality
Code
Description
License number
State
2085R0202X
Diagnostic Radiology Physician
Primary
269283
MA
2085R0202X
Diagnostic Radiology Physician
ME132409
FL
2085R0204X
Vascular & Interventional Radiology Physician
Primary
269283
MA
2085R0204X
Vascular & Interventional Radiology Physician
57177
CT
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
110034816A
—
MA
05
—
3116604
—
NH
Enumeration date
10/02/2006
Last updated
05/08/2026
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