Steven R Dieterich, MD
Family Medicine in East Granby, Connecticut
1063499127- Practice location
- 13 Church RD, East Granby, CT 06026-0518
- Phone
- 860-653-4526
- Fax
- 860-653-5209
- Last updated
- January 18, 2011
Steven R Dieterich is a Family Medicine based in East Granby, CT. Steven R Dieterich practices in East Granby, CT and has the professional credentials of MD. The NPI Number for Steven R Dieterich is 1063499127 and holds a License No. 018693 (CT). The current practice location address for Steven R Dieterich is 13 Church RD, East Granby, CT 06026-0518 and can be reached out via phone at 860-653-4526 and via fax at 860-653-5209.
Provider Profile Details
- NPI Number
- 1063499127
- Provider Name
- Steven R Dieterich
- Credential
- MD
- Provider Entity Type
- Individual
- Gender
- Male
- Address
- 13 Church RD, East Granby, CT 06026-0518
- Phone Number
- 860-653-4526
- Fax Number
- 860-653-5209
- Primary Taxonomy
- Family Medicine · 207Q00000X
- Sole Proprietor
- No
- Provider Enumeration Date
- December 29, 2005
- Last Update Date
- January 18, 2011
- NPI Status
- Active
Provider Business Practice Location Address Details
- Address
- 13 Church RD
East Granby, CT 06026-0518 - City
- East Granby
- State
- Connecticut
- Zip
- 06026-0518
- Phone Number
- 860-653-4526
- Fax Number
- 860-653-5209
Provider Business Mailing Address Details
- Address
- Po Box 518
13 Church RD
East Granby, CT 06026-0518 - City
- East Granby
- State
- CT
- Zip
- 06026-0518
- Phone Number
- 860-653-4526
- Fax Number
- 860-653-5209
License Information
- License Number
- 018693
- License State
- CT
- Taxonomy
- Family Medicine · 207Q00000X · Primary
Legacy Identifiers
| Identifier | Type | State | Issuer |
|---|---|---|---|
| No legacy identifiers (Medicaid, Medicare or plan IDs) are on file for this provider. | |||
Other Family Medicine providers near East Granby, CT
View all Family Medicine providers in East Granby →- Alina Kluk, MDFamily Medicine · NPI 1063032977
- Dr. Daniel M Lerner, DOFamily Medicine · NPI 1700222817
- East Granby Family Practice LLCFamily Medicine · NPI 1154308229
- Khuram R Ghumman, MD, MPH, CPE, FAAFPFamily Medicine · NPI 1447384326
- Kimberly D Davis, DOFamily Medicine · NPI 1639791379
- Mr. David R Howlett, MDFamily Medicine · NPI 1760469829
Frequently Asked Questions
What is the NPI number of Steven R Dieterich, MD?
The NPI number of Steven R Dieterich, MD is 1063499127. It was assigned on December 29, 2005 and is currently active in the NPPES registry.
What is the specialty of Steven R Dieterich, MD?
Steven R Dieterich, MD is registered under the primary taxonomy Family Medicine (code 207Q00000X), licensed in CT under license number 018693.
Where does Steven R Dieterich, MD practice?
The practice location is 13 Church RD, East Granby, CT 06026-0518. The office can be reached at 860-653-4526 (phone) or 860-653-5209 (fax).
What is an NPI number?
A National Provider Identifier (NPI) is a unique 10-digit identification number issued to health care providers in the United States by the Centers for Medicare and Medicaid Services (CMS). It is used in HIPAA standard transactions.
How do I verify this NPI record?
This record is sourced from the public NPPES NPI Registry maintained by CMS. You can confirm it by searching NPI 1063499127 directly on the NPPES registry website.