Affeln, Dieter W

Affeln, Dieter W is an individual health care provider with primary practice located at 1425 Portland Ave , Rochester NY 14621-3011. He recently has only one registered license in Allopathic & Osteopathic Physicians / Occupational Medicine, which is considered as his primary health care specialty. Affeln, Dieter W can be contacted via phone (585) 922-4173.

Contact Information

Primary practice address
1425 Portland Ave Rochester NY 14621-3011
Fax: (585) 922-5595
Website:

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Occupational Medicine 2083X0100X 303227 New York

Profile Details

NPI number 1346234382
LBN Legal business name Affeln, Dieter W
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Sep 6th, 2005
Last updated Apr 15th, 2021 - about 3 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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Identifiers

StateTypeNumberIssuer
All States NPI 1346234382 NPPES
Massachusetts MEDICAID 3199550

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