ALAN MERRILL DIETZEK

NEPTUNE, NJ
NPI1134160435
Entity TypeIndividual
GenderMale
Sole Proprietor ?No
Primary Taxonomy2086S0129X 
(Licence: NJ  25MA09413600)
Additional Taxonomies2086S0129X 
(Licence: CT  038845)
Enumeration Date2006-06-09
Last Update Date2025-06-16
Business Address
ALAN MERRILL DIETZEK M.D.
19 DAVIS AVE FL 4
NEPTUNE, NJ 07753-4488
Phone number: 732-212-6598
Mailing Address
ALAN MERRILL DIETZEK M.D.
331 NEWMAN SPRINGS RD STE 220
RED BANK, NJ 07701-5792
Phone number: 732-807-0877