Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.
DR. JOSEPH ANTHONY DIETERLE JR., D.O.
Active Sole ProprietorDR. JOSEPH ANTHONY DIETERLE JR., D.O. is a Pediatrics healthcare provider located in OXFORD, Maryland. NPI 1467475202 is currently active in the NPPES registry. Verify at CMS.
Pediatrics · OXFORD, MD
Registration Details
- NPI Number
- 1467475202
- Provider Type
- Individual
- Gender
- Male
- NPI Issued
- Jul 25, 2006 (20.030840369522 yrs)
- Last Updated
- Dec 2, 2015
- License
-
H0060132 (MD)
- Sole Proprietor
- Yes
Practice Information
- Address
-
112 FIRST ST.OXFORD, MD, 216540532Browse MD providers · Browse ZIP 21654
- Phone
- 4102260013
- Fax
- 4102260013
- Primary Specialty
-
Pediatrics
208000000X
Data sourced from the NPPES National Provider Identifier registry. This information is for informational purposes only and is not a substitute for verifying credentials with the appropriate licensing authority. For official verification, use the NPPES NPI Registry or the relevant state medical board.