Individual
DR. KEVIN MICHAEL DIETTE
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
88 NOBLE AVE, MILFORD, CT 06460-4738
(203) 878-3435
(203) 783-9689
Mailing address
88 NOBLE AVE, MILFORD, CT 06460-4738
(203) 878-3435
(203) 783-9689
Taxonomy
Speciality
Code
Description
License number
State
207N00000X
Dermatology Physician
Primary
024290
CT
Other
Enumeration date
08/15/2005
Last updated
10/04/2007
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