Dieterich, Douglas T

Dieterich, Douglas T is an individual health care provider with primary practice located at 17 E 102Nd St , New York NY 10029-5204. He recently has only one registered license in Allopathic & Osteopathic Physicians / Hepatology, which is considered as his primary health care specialty. Dieterich, Douglas T can be contacted via phone (212) 241-7270.

Contact Information

Primary practice address
17 E 102Nd St New York NY 10029-5204
Phone: (212) 241-7270
Fax: (212) 289-7738
Website:
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Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Hepatology 207RI0008X 139595 New York

Profile Details

NPI number 1225056070
LBN Legal business name Dieterich, Douglas T
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Jul 18th, 2006
Last updated Jun 12th, 2023 - about 2 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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