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1063515146
PAMELA M DIETZ
PORTLAND, ME
NPI
1063515146
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
208000000X Pediatrics
(Licence: ME MD14921)
Enumeration Date
2006-09-06
Last Update Date
2013-11-22
Business Address
-- PAMELA M DIETZ MD
1577 CONGRESS ST
PORTLAND, ME 04102
Phone number: 207-662-1622
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Mailing Address
-- PAMELA M DIETZ MD
301 US ROUTE 1 BUILDING C
SCARBOROUGH, ME 04074-7609
Phone number: 207-396-8600
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