Individual
DR. THOMAS WILLIAM DIETZMAN
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
3401 CIVIC CENTER BLVD, DIVISION OF CARDIOLOGY, PHILADELPHIA, PA 19104-4319
(215) 590-2367
Mailing address
3401 CIVIC CENTER BLVD, DIVISION OF PEDIATRIC CARDIOLOGY, PHILADELPHIA, PA 19104
(215) 590-1220
(215) 590-2768
Taxonomy
Speciality
Code
Description
License number
State
207LC0200X
Critical Care Medicine (Anesthesiology) Physician
MD457635
PA
2080P0202X
Pediatric Cardiology Physician
Primary
MD457635
PA
Other
Enumeration date
06/05/2013
Last updated
06/01/2023
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