Dietrich, Gretchen
Dietrich, Gretchen is an individual health care provider with primary practice located at 37 Broadway Lahey Health Primary Care, Arlington, Arlington MA 02474-5552. She recently has only one registered license in Allopathic & Osteopathic Physicians / Family Medicine, which is considered as her primary health care specialty. Dietrich, Gretchen can be contacted via phone (781) 641-0100.Contact Information
Primary practice address
37 Broadway Lahey Health Primary Care, Arlington
Arlington MA 02474-5552
Phone: (781) 641-0100
Fax:
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Family Medicine | 207Q00000X | 260280 | Massachusetts |
Profile Details
| NPI number | 1265724090 |
|---|---|
| LBN Legal business name | Dietrich, Gretchen |
| Credentials | Doctor of Medicine (MD) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | May 12th, 2011 |
| Last updated | Nov 28th, 2016 - about 10 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 | 1265724090 | NPPES |
| Massachusetts | MEDICAID | 110097293A |
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