Dietrick, Richard F.

Dietrick, Richard F. is an individual health care provider with primary practice located at 333 Cottman Avenue Fox Chase Cancer Center, Philadelphia PA 19111. He recently has only one registered license in Allopathic & Osteopathic Physicians / Family Medicine, which is considered as his primary health care specialty. Dietrick, Richard F. can be contacted via phone (215) 728-6900.

Contact Information

Primary practice address
333 Cottman Avenue Fox Chase Cancer Center Philadelphia PA 19111
Phone: (215) 728-6900
Fax: (215) 214-1425
Website:
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Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Family Medicine 207Q00000X MD031249E Pennsylvania

Profile Details

NPI number 1336129527
LBN Legal business name Dietrick, Richard F.
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Jan 23rd, 2006
Last updated Mar 3rd, 2011 - about 15 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.

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Identifiers

StateTypeNumberIssuer
All States NPI 1336129527 NPPES
Pennsylvania MEDICAID 1180600

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