Individual
DR. JOYCE A DIETRICH
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
M.D.
Contact information
Practice address
4924 CAMPBELL BLVD, SUITE 200, BALTIMORE, MD 21236-5908
(443) 442-2300
Mailing address
3100 WYMAN PARK DR, BALTIMORE, MD 21211-2803
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
D57257
MD
207R00000X
Internal Medicine Physician
D57257
MD
208000000X
Pediatrics Physician
D57257
MD
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
690401700
—
MD
Enumeration date
06/03/2006
Last updated
05/09/2013
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