STEVEN R DIETERICH

EAST GRANBY, CT
NPI1063499127
Entity TypeIndividual
GenderMale
Sole Proprietor ?No
Primary Taxonomy207Q00000X Family Medicine
(Licence: CT  018693)
Enumeration Date2005-12-29
Last Update Date2011-01-18
Business Address
-- STEVEN R DIETERICH MD
13 CHURCH RD
EAST GRANBY, CT 06026-0518
Phone number: 860-653-4526
Mailing Address
-- STEVEN R DIETERICH MD
PO BOX 518 13 CHURCH RD
EAST GRANBY, CT 06026-0518
Phone number: 860-653-4526