Dr. Eric W Dietsche, MD
Radiology, Diagnostic Radiology in Providence, Rhode Island
1710416441- Practice location
- 593 Eddy St, Providence, RI 02903-4923
- Phone
- 401-444-5127
- Fax
- 401-444-3056
- Last updated
- April 15, 2024
Eric William Dietsche is a Radiology, Diagnostic Radiology based in Providence, RI. Eric William Dietsche practices in Providence, RI and has the professional credentials of MD. The NPI Number for Eric William Dietsche is 1710416441 and holds a License No. 1019342 (MA). The current practice location address for Eric William Dietsche is 593 Eddy St, Providence, RI 02903-4923 and can be reached out via phone at 401-444-5127 and via fax at 401-444-3056.
Provider Profile Details
- NPI Number
- 1710416441
- Provider Name
- Eric William Dietsche
- Credential
- MD
- Provider Entity Type
- Individual
- Gender
- Male
- Address
- 593 Eddy St, Providence, RI 02903-4923
- Phone Number
- 401-444-5127
- Fax Number
- 401-444-3056
- Primary Taxonomy
- Radiology, Diagnostic Radiology · 2085R0202X
- Sole Proprietor
- Yes
- Provider Enumeration Date
- June 6, 2017
- Last Update Date
- April 15, 2024
- Certification Date
- April 15, 2024
- NPI Status
- Active
Provider Business Practice Location Address Details
- Address
- 593 Eddy St
Providence, RI 02903-4923 - City
- Providence
- State
- Rhode Island
- Zip
- 02903-4923
- Phone Number
- 401-444-5127
- Fax Number
- 401-444-3056
Provider Business Mailing Address Details
- Address
- 125 Metro Center Blvd Ste 2000
Warwick, RI 02886-1785 - City
- Warwick
- State
- RI
- Zip
- 02886-1785
- Phone Number
- 401-435-2500
- Fax Number
- 401-921-9212
License Information
- License Number (1)
- 1019342
- License State (1)
- MA
- Taxonomy (1)
- Radiology, Diagnostic Radiology · 2085R0202X
- License Number (2)
- LP03985
- License State (2)
- RI
- Taxonomy (2)
- Internal Medicine · 207R00000X
- License Number (3)
- MD
- License State (3)
- RI
- Taxonomy (3)
- Radiology, Diagnostic Radiology · 2085R0202X · Primary
Legacy Identifiers
| Identifier | Type | State | Issuer |
|---|---|---|---|
| No legacy identifiers (Medicaid, Medicare or plan IDs) are on file for this provider. | |||
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Frequently Asked Questions
What is the NPI number of Dr. Eric W Dietsche, MD?
The NPI number of Dr. Eric W Dietsche, MD is 1710416441. It was assigned on June 6, 2017 and is currently active in the NPPES registry.
What is the specialty of Dr. Eric W Dietsche, MD?
Dr. Eric W Dietsche, MD is registered under the primary taxonomy Radiology, Diagnostic Radiology (code 2085R0202X), licensed in MA under license number 1019342.
Where does Dr. Eric W Dietsche, MD practice?
The practice location is 593 Eddy St, Providence, RI 02903-4923. The office can be reached at 401-444-5127 (phone) or 401-444-3056 (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 1710416441 directly on the NPPES registry website.