Diefes, Gerard John

Diefes, Gerard John is an individual health care provider with primary practice located at 1001 City Line Ave Wb 113, Wynnewood PA 19096-3902. He recently has 3 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Pulmonary Disease, Allopathic & Osteopathic Physicians / Critical Care Medicine, Allopathic & Osteopathic Physicians / Sleep Medicine. Allopathic & Osteopathic Physicians / Pulmonary Disease is his primary health care specialty. Diefes, Gerard John can be contacted via phone (610) 896-0280.

Contact Information

Primary practice address
1001 City Line Ave Wb 113 Wynnewood PA 19096-3902
Phone: (610) 896-0280
Fax: (610) 896-0286
Website:
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Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Pulmonary Disease 207RP1001X MD056949L Pennsylvania
Allopathic & Osteopathic Physicians / Critical Care Medicine 207RC0200X MD056949L Pennsylvania
Allopathic & Osteopathic Physicians / Sleep Medicine 207RS0012X MD056949L Pennsylvania

Profile Details

NPI number 1417948951
LBN Legal business name Diefes, Gerard John
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Nov 3rd, 2005
Last updated May 28th, 2010 - about 15 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 1417948951 NPPES
Pennsylvania MEDICAID 001781333

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