Individual
ELIZABETH A DIECKMAN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
M.D.
Contact information
Practice address
2200 WHITNEY AVE, SUITE 240, HAMDEN, CT 06518-3691
(203) 287-5400
(203) 281-3001
Mailing address
226 MILL HILL AVE, 3RD FLOOR, BRIDGEPORT, CT 06610-2826
(203) 287-5400
(203) 281-3001
Taxonomy
Speciality
Code
Description
License number
State
208000000X
Pediatrics Physician
Primary
055188
CT
390200000X
Student in an Organized Health Care Education/Training Program
—
—
Other
Enumeration date
05/13/2013
Last updated
05/20/2016
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