Individual
DIETER W AFFELN
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
1425 PORTLAND AVE, ROCHESTER, NY 14621-3011
(585) 922-4173
(585) 922-5595
Mailing address
100 KINGS HWY S, ROCHESTER, NY 14617-5504
(585) 922-4173
(585) 922-5595
Taxonomy
Speciality
Code
Description
License number
State
2083X0100X
Occupational Medicine Physician
Primary
303227
NY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
3199550
—
MA
Enumeration date
09/06/2005
Last updated
04/15/2021
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