Diane Kilduff
Internist - Addiction Medicine
42 Patton Rd
Ayer
, Massachusetts 01434-3801
Diane Kilduff
Internist - Addiction Medicine
42 Patton Rd
Ayer
, Massachusetts 01434-3801
(508) 246-4463
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About
Features
Specialties
- Internist - Addiction Medicine
Languages spoken
- English
Location
First Address
- Diane Kilduff
- P.o. Box 3652 8 Wenaumet Bluff Dr.
- Pocasset, MA
- Zip : 02559
- Phone : (508) 246-4463
Second Address
- Diane Kilduff
- 42 Patton Rd
- Ayer, MA
- Zip : 01434-3801
- Phone : (978) 796-1000
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Scope of Practice
| Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
|---|---|---|---|---|
| Y | 207RA0401X | Internist - Addiction Medicine | 198195 | MA |
National Provider Identifier
| NPI | 1700829058 |
|---|---|
| Provider Name | Diane Kilduff |
| First Address | Pocasset, MA 02559 |
| Second Address | Ayer, MA 01434-3801 |
| Gender | F |
| NPI Entity type | Individual |
| Is Sole Proprietor | Yes |
| Is Organization Subpart | N/A |
| Enumeration Date | 14/06/2006 |
| Last Update Date | 09/09/2020 |
Additional Identifiers
| IDENTIFIER | TYPE / CODE | IDENTIFIER STATE |
|---|---|---|
| 0708216 | (05) | MA |
| Q64029 | (02) |
NPI Footnotes
What is the National Provider Identifier (NPI)
Provider Location Address
Provider Mailing Address
Entity Type Code
1= Person: individual human being who furnishes health care;
2= Non-person: entity other than an individual human being that furnishes health care (Examples: hospital, SNF, hospital subunit, pharmacy, or HMO)
What is a Subpart?
Provider Other Organization Name
1 = former name;
2 = professional name;
3 = doinq business as (d/b/ a) name;
4 = former legal business name;
5 = other.