Individual
DR. GRETCHEN ANN DIEMER
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
M.D.
Contact information
Practice address
3401 N BROAD ST, PHILADELPHIA, PA 19140-5103
(215) 707-3807
Mailing address
3500 N BROAD ST RM 1A, PHILADELPHIA, PA 19140-4106
(215) 707-3411
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
Primary
MD424123
PA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
0037290
—
NJ
05
—
101074487
—
PA
Enumeration date
07/11/2006
Last updated
03/13/2025
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