Gary D Diederich, MD
Family Medicine in Bristol, New Hampshire
1720029259- Practice location
- 859 Lake St, Bristol, NH 03222-4506
- Phone
- 603-744-6200
- Fax
- 603-744-9024
- Last updated
- November 30, 2007
Gary D Diederich is a Family Medicine based in Bristol, NH. Gary D Diederich practices in Bristol, NH and has the professional credentials of MD. The NPI Number for Gary D Diederich is 1720029259 and holds a License No. 6515 (NH). The current practice location address for Gary D Diederich is 859 Lake St, Bristol, NH 03222-4506 and can be reached out via phone at 603-744-6200 and via fax at 603-744-9024.
Provider Profile Details
- NPI Number
- 1720029259
- Provider Name
- Gary D Diederich
- Credential
- MD
- Provider Entity Type
- Individual
- Gender
- Male
- Address
- 859 Lake St, Bristol, NH 03222-4506
- Phone Number
- 603-744-6200
- Fax Number
- 603-744-9024
- Primary Taxonomy
- Family Medicine · 207Q00000X
- Sole Proprietor
- No
- Provider Enumeration Date
- June 8, 2006
- Last Update Date
- November 30, 2007
- NPI Status
- Active
Provider Business Practice Location Address Details
- Address
- 859 Lake St
Bristol, NH 03222-4506 - City
- Bristol
- State
- New Hampshire
- Zip
- 03222-4506
- Phone Number
- 603-744-6200
- Fax Number
- 603-744-9024
Provider Business Mailing Address Details
- Address
- 101 Boulder Point Dr
Suite 1
Plymouth, NH 03264 - City
- Plymouth
- State
- NH
- Zip
- 03264
- Phone Number
- 603-536-4000
- Fax Number
- 603-536-4001
License Information
- License Number
- 6515
- License State
- NH
- 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. | |||
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Frequently Asked Questions
What is the NPI number of Gary D Diederich, MD?
The NPI number of Gary D Diederich, MD is 1720029259. It was assigned on June 8, 2006 and is currently active in the NPPES registry.
What is the specialty of Gary D Diederich, MD?
Gary D Diederich, MD is registered under the primary taxonomy Family Medicine (code 207Q00000X), licensed in NH under license number 6515.
Where does Gary D Diederich, MD practice?
The practice location is 859 Lake St, Bristol, NH 03222-4506. The office can be reached at 603-744-6200 (phone) or 603-744-9024 (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 1720029259 directly on the NPPES registry website.