person
Alan Merrill Dietzek, MD
Vascular Surgery Physician in Danbury, Connecticut
NPI 1134160435

Alan Merrill Dietzek is a Vascular Surgery Physician based in Red Bank, CT and is specialized in Vascular Surgery. Alan Merrill Dietzek practices in Danbury, CT and has the professional credentials of MD. The NPI Number for Alan Merrill Dietzek is 1134160435 and holds a License No. 25MA09413600 (Connecticut).

The current practice location address for Alan Merrill Dietzek is 67 Sand Pit Rd, Danbury, CT and can be reached out via phone at 203-798-6986.

Location: 67 Sand Pit Rd, Danbury, CT, 07701-5792
person
Provider Profile Details
NPI Number
1134160435
Provider Name
Alan Merrill Dietzek
Credential
MD
Provider Entity Type
Individual
Gender
Male
Address
67 Sand Pit Rd, Danbury, CT, 07701-5792
Phone Number
203-798-6986
Fax Number
Provider Enumeration Date
06/09/2006
Last Update Date
12/14/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
2372975 01 CT AETNA US HEALTHCARE
830396 01 CT UNITED HEALTHCARE
0V7532 01 CT HEALTH NET
038845 01 CT CONNECTICARE
810160110 01 CT PHCS
8897122 01 CT CIGNA
AS1058 01 CT OXFORD
1388455 05 CT
P00230453 01 CT RAILROAD MEDICARE
institution
Provider Business Practice Location Address Details
Address
67 Sand Pit Rd
City
State
Zip
06810-4032
Phone Number
203-798-6986
Fax Number
person
Provider Business Mailing Address Details
Address
67 Sand Pit Rd
City
State
Zip
06810-4032
Phone Number
203-798-6986
Fax Number
person
Provider's Taxonomy Details 1
Type
Allopathic & Osteopathic Physicians
Classification
Surgery
Speciality
Vascular Surgery
Taxonomy
License No.
25MA09413600 (New Jersey)
Definition
A surgeon with expertise in the management of surgical disorders of the blood vessels, excluding the intracranial vessels or the heart.
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