Individual
DR. KAREN PEREIA DIETZ
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
M.D.
Contact information
Practice address
1001 SAM PERRY BLVD, FREDERICKSBRG, VA 22401-4453
(301) 273-5394
Mailing address
1001 SAM PERRY BLVD, FREDERICKSBURG, VA 22401-4453
(301) 273-5394
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
Primary
0101269713
VA
208000000X
Pediatrics Physician
0101269713
VA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1477908382
—
VA
Enumeration date
04/28/2016
Last updated
03/26/2024
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