Individual
GREGORY BRUCE DIETTE
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
600 N WOLFE ST, BALTIMORE, MD 21287-0005
(410) 955-3467
Mailing address
PO BOX 64264, BALTIMORE, MD 21264-4264
Taxonomy
Speciality
Code
Description
License number
State
207RP1001X
Pulmonary Disease Physician
Primary
D47616
MD
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
491101600
—
MD
Enumeration date
06/17/2006
Last updated
02/12/2013
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