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Individual
ALAN MERRILL DIETZEK
Active
Individual
ALAN MERRILL DIETZEK
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Taxonomy
Speciality
Code
Description
License number
State
2086S0129X
Vascular Surgery Physician
038845
CT
2086S0129X
Vascular Surgery Physician
Primary
25MA09413600
NJ
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
038845
CONNECTICARE
CT
01
—
0V7532
HEALTH NET
CT
05
—
1388455
—
CT
01
—
2372975
AETNA US HEALTHCARE
CT
01
—
810160110
PHCS
CT
01
—
830396
UNITED HEALTHCARE
CT
01
—
8897122
CIGNA
CT
01
—
AS1058
OXFORD
CT
01
—
P00230453
RAILROAD MEDICARE
CT
Enumeration date
06/09/2006
Last updated
06/16/2025
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