Provider Demographics
NPI:1376679951
Name:DIETZ, JEFFREY F (MD)
Entity type:Individual
Prefix:
First Name:JEFFREY
Middle Name:F
Last Name:DIETZ
Suffix:
Gender:M
Credentials:MD
Other - Prefix:
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Mailing Address - Street 1:25 CANTERBURY DR
Mailing Address - Street 2:
Mailing Address - City:SUDBURY
Mailing Address - State:MA
Mailing Address - Zip Code:01776-1762
Mailing Address - Country:US
Mailing Address - Phone:978-261-5356
Mailing Address - Fax:
Practice Address - Street 1:761 WORCESTER RD 3RD FLOOR
Practice Address - Street 2:NEW ENGLAND HAND ASSOCIATES
Practice Address - City:FRAMINGHAM
Practice Address - State:MA
Practice Address - Zip Code:01701
Practice Address - Country:US
Practice Address - Phone:508-872-7881
Practice Address - Fax:508-872-9545
Is Sole Proprietor?:No
Enumeration Date:2007-02-26
Last Update Date:2013-04-18
Deactivation Date:
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Provider Licenses
StateLicense IDTaxonomies
MA230752207X00000X, 207XS0106X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207XS0106XAllopathic & Osteopathic PhysiciansOrthopaedic SurgeryHand Surgery
No207X00000XAllopathic & Osteopathic PhysiciansOrthopaedic Surgery