Individual
DIEDRICH K HOLTKAMP
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
541 BAY RIDGE PARKWAY, BROOKLYN, NY 11209
(718) 748-6451
(718) 921-4534
Mailing address
541 BAY RIDGE PARKWAY, BROOKLYN, NY 11209
(718) 748-6451
(718) 921-4534
Taxonomy
Speciality
Code
Description
License number
State
2086S0129X
Vascular Surgery Physician
Primary
128889
NY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
00396474
—
NY
Enumeration date
08/14/2006
Last updated
07/08/2007
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