Provider Demographics
NPI:1407915861
Name:HURD, JOSEPH KINDALL JR (MD)
Entity Type:Individual
Prefix:DR
First Name:JOSEPH
Middle Name:KINDALL
Last Name:HURD
Suffix:JR
Gender:M
Credentials:MD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:18 EMERSON RD
Mailing Address - Street 2:
Mailing Address - City:WELLESLEY
Mailing Address - State:MA
Mailing Address - Zip Code:02481-3419
Mailing Address - Country:US
Mailing Address - Phone:781-235-5912
Mailing Address - Fax:781-235-9424
Practice Address - Street 1:41 MALL RD
Practice Address - Street 2:
Practice Address - City:BURLINGTON
Practice Address - State:MA
Practice Address - Zip Code:01805-0003
Practice Address - Country:US
Practice Address - Phone:781-744-8495
Practice Address - Fax:781-744-1099
Is Sole Proprietor?:Yes
Enumeration Date:2006-12-08
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MA28952207VG0400X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207VG0400XAllopathic & Osteopathic PhysiciansObstetrics & GynecologyGynecology
Provider Identifiers
StateIdentifier IDID TypeIssuer
MA6167489Medicaid
MAM08231Medicare ID - Type Unspecified
MA6167489Medicaid