Individual
STEVEN R DIETERICH
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
13 CHURCH RD, EAST GRANBY, CT 06026-0518
(860) 653-4526
(860) 653-5209
Mailing address
PO BOX 518, 13 CHURCH RD, EAST GRANBY, CT 06026-0518
(860) 653-4526
(860) 653-5209
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
018693
CT
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
001186931
—
CT
01
—
010018693CT01
BCBS
CT
01
—
0104402
UNITED
CT
01
—
018693
CT
CT
01
—
0P0372
HEALTHNET
CT
01
—
140065
AETNA
CT
01
—
2085328005
CIGNA
CT
01
—
HAP210
OXFORD
CT
Enumeration date
12/29/2005
Last updated
01/18/2011
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