Diefes, Gerard John
Diefes, Gerard John is an individual health care provider with primary practice located at 1001 City Line Ave Wb 113, Wynnewood PA 19096-3902. He recently has 3 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Pulmonary Disease, Allopathic & Osteopathic Physicians / Critical Care Medicine, Allopathic & Osteopathic Physicians / Sleep Medicine. Allopathic & Osteopathic Physicians / Pulmonary Disease is his primary health care specialty. Diefes, Gerard John can be contacted via phone (610) 896-0280.Contact Information
Primary practice address
1001 City Line Ave Wb 113
Wynnewood PA 19096-3902
Phone: (610) 896-0280
Fax: (610) 896-0286
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Pulmonary Disease | 207RP1001X | MD056949L | Pennsylvania |
| Allopathic & Osteopathic Physicians / Critical Care Medicine | 207RC0200X | MD056949L | Pennsylvania |
| Allopathic & Osteopathic Physicians / Sleep Medicine | 207RS0012X | MD056949L | Pennsylvania |
Profile Details
| NPI number | 1417948951 |
|---|---|
| LBN Legal business name | Diefes, Gerard John |
| Credentials | Doctor of Medicine (MD) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Nov 3rd, 2005 |
| Last updated | May 28th, 2010 - about 16 years ago |
1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1417948951 | NPPES |
| Pennsylvania | MEDICAID | 001781333 |
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