Individual
DOUGLAS T DIETERICH
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
17 E 102ND ST, NEW YORK, NY 10029-5204
(212) 241-7270
(212) 289-7738
Mailing address
1 GUSTAVE L LEVY PL # 1118, NEW YORK, NY 10029-6504
Taxonomy
Speciality
Code
Description
License number
State
207RI0008X
Hepatology Physician
Primary
139595
NY
Other
Enumeration date
07/18/2006
Last updated
06/12/2023
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