Individual
DIANE L DIETZEN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MD
Contact information
Practice address
759 CHESTNUT ST, SPRINGFIELD, MA 01199-1619
(413) 794-8121
(413) 794-4054
Mailing address
280 CHESTNUT ST, 1ST FL, SPRINGFIELD, MA 01199-1619
(413) 794-5700
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
MD044558E
PA
207RH0002X
Hospice and Palliative Medicine (Internal Medicine) Physician
Primary
249857
MA
Other
Enumeration date
06/22/2005
Last updated
07/16/2013
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