Dietrick, Richard F.
Dietrick, Richard F. is an individual health care provider with primary practice located at 333 Cottman Avenue Fox Chase Cancer Center, Philadelphia PA 19111. He recently has only one registered license in Allopathic & Osteopathic Physicians / Family Medicine, which is considered as his primary health care specialty. Dietrick, Richard F. can be contacted via phone (215) 728-6900.Contact Information
Primary practice address
333 Cottman Avenue Fox Chase Cancer Center
Philadelphia PA 19111
Phone: (215) 728-6900
Fax: (215) 214-1425
Website:
Health care specialties
Specialty | Code | License # | State |
---|---|---|---|
Allopathic & Osteopathic Physicians / Family Medicine | 207Q00000X | MD031249E | Pennsylvania |
Profile Details
NPI number | 1336129527 |
---|---|
LBN Legal business name | Dietrick, Richard F. |
Credentials | Doctor of Medicine (MD) |
Entity | Individual |
Sole proprietor 1 | No |
Enumeration date | Jan 23rd, 2006 |
Last updated | Mar 3rd, 2011 - about 13 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.
Identifiers
State | Type | Number | Issuer |
---|---|---|---|
All States | NPI | 1336129527 | NPPES |
Pennsylvania | MEDICAID | 1180600 |
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