Individual
DR. JOSEPH ANTHONY DIETERLE JR.
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
D.O.
Contact information
Practice address
112 FIRST ST., OXFORD, MD 21654-0532
(410) 226-0013
(410) 226-0013
Mailing address
BOX 532, 112 FIRST ST., OXFORD, MD 21654-0532
(410) 226-0013
(410) 226-0013
Taxonomy
Speciality
Code
Description
License number
State
208000000X
Pediatrics Physician
Primary
H0060132
MD
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
2290502
—
NJ
Enumeration date
07/25/2006
Last updated
12/02/2015
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