Individual
DR. ERIC WILLIAM DIETSCHE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
593 EDDY ST, PROVIDENCE, RI 02903-4923
(401) 444-5127
(401) 444-3056
Mailing address
125 METRO CENTER BLVD STE 2000, WARWICK, RI 02886-1785
(401) 435-2500
(401) 921-9212
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
LP03985
RI
2085R0202X
Diagnostic Radiology Physician
1019342
MA
2085R0202X
Diagnostic Radiology Physician
Primary
MD
RI
Other
Enumeration date
06/06/2017
Last updated
04/15/2024
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