MEDICARE: DIEU KIM TRUONG

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	163W00000X	Registered Nurse	2339971	MA

General Provider Information

NPI Number	:	1871448829
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	DIEU KIM TRUONG

Provider Business Mailing Address
First Line	:	118 FEDERAL ST
Second Line	:
City	:	WILMINGTON
State	:	MA
Zip	:	01887-2510
Country	:	US
Telephone Number	:	617-285-0730
Fax Number	:

Provider Business Practice Location Address
First Line	:	118 FEDERAL ST
Second Line	:
City	:	WILMINGTON
State	:	MA
Zip	:	01887-2510
Country	:	US
Telephone Number	:	617-285-0730
Fax Number	:

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	03/03/2026
Last Update Date	:	03/03/2026

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Directions to “ DIEU KIM TRUONG ” Practice Location

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