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Contact Information

DIANE L DIETZEN, MD
759 CHESTNUT ST
SPRINGFIELD, MA01199-1619
 Phone: 413-794-8121
 Fax: 413-794-4054
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Hospice and Palliative Medicine

207RH0002X 11 Physician/Internal Medicine
 

Internal Medicine

207R00000X 11 Physician/Internal Medicine
Indicates primary specialty

NPI Profile & details for DIANE L DIETZEN · (Female)

NPI Number 1578569828
Status Active
Credentials MD
Entity Individual
Enumeration date 06/22/2005
Last updated 07/16/2013 - About 13 years ago
Sole proprietor 1 No
Identifiers
  • MA License # 249857
  • PA License # MD044558E
Hospital affiliation(s) Not Available
1 A sole proprietor/sole proprietorship is an individual, and as such, is eligible for a single NPI number. The sole proprietor must apply for the NPI number using his or her own Social Security Number (SSN), not an Employer Identification Number (EIN) even if he/she has an EIN.

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