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1225056070
DOUGLAS T DIETERICH
NEW YORK, NY
NPI
1225056070
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
207RI0008X Internal Medicine, Hepatology
(Licence: NY 139595)
Enumeration Date
2006-07-18
Last Update Date
2023-06-12
Business Address
DOUGLAS T DIETERICH MD
17 E 102ND ST
NEW YORK, NY 10029-5204
Phone number: 212-241-7270
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Mailing Address
DOUGLAS T DIETERICH MD
1 GUSTAVE L LEVY PL # 1118
NEW YORK, NY 10029-6504
Phone number:
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