Individual
DR. JOHN CHARLES DIECK
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
D.O.
Contact information
Practice address
140 GRANDVIEW AVE, WATERBURY, CT 06708-2505
(203) 757-7000
Mailing address
322 BEACH ST, LITCHFIELD, CT 06759-2313
(860) 567-1026
Taxonomy
Speciality
Code
Description
License number
State
207L00000X
Anesthesiology Physician
Primary
000505
CT
Other
Enumeration date
04/10/2006
Last updated
07/08/2007
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