Individual
DR. DONALD ELMORE DIETZ IV
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
525 E 68TH ST, STARR BUILDING, 5TH FLOOR, NEW YORK, NY 10065-9800
(212) 746-4071
(212) 746-4734
Mailing address
525 EAST 68TH STREET, STARR BUILDING, 5TH FLOOR, NEW YORK, NY 10065
(212) 746-4071
(212) 746-4734
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
A149185
CA
208M00000X
Hospitalist Physician
Primary
282473
NY
208M00000X
Hospitalist Physician
A149185
CA
Other
Enumeration date
04/15/2014
Last updated
08/18/2023
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