Gregory Bruce Diette
Pulmonary Disease
600 N Wolfe St
Baltimore
, Maryland 21287-0005
Gregory Bruce Diette
Pulmonary Disease
600 N Wolfe St
Baltimore
, Maryland 21287-0005
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About
Features
Specialties
- Pulmonary Disease
Languages spoken
- English
Location
First Address
- Gregory Bruce Diette
- Po Box 64264
- Baltimore, MD
- Zip : 21264-4264
- Phone :
Second Address
- Gregory Bruce Diette
- 600 N Wolfe St
- Baltimore, MD
- Zip : 21287-0005
- Phone : (410) 955-3467
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Scope of Practice
| Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
|---|---|---|---|---|
| Y | 207RP1001X | Pulmonary Disease | D47616 | MD |
National Provider Identifier
| NPI | 1023053881 |
|---|---|
| Provider Name | Gregory Bruce Diette |
| First Address | Baltimore, MD 21264-4264 |
| Second Address | Baltimore, MD 21287-0005 |
| Gender | M |
| NPI Entity type | Individual |
| Is Sole Proprietor | No |
| Is Organization Subpart | N/A |
| Enumeration Date | 17/06/2006 |
| Last Update Date | 12/02/2013 |
Additional Identifiers
| IDENTIFIER | TYPE / CODE | IDENTIFIER STATE |
|---|---|---|
| 491101600 | (05) | MD |
| G82494 | (02) | MD |
NPI Footnotes
What is the National Provider Identifier (NPI)
Provider Location Address
Provider Mailing Address
Entity Type Code
1= Person: individual human being who furnishes health care;
2= Non-person: entity other than an individual human being that furnishes health care (Examples: hospital, SNF, hospital subunit, pharmacy, or HMO)
What is a Subpart?
Provider Other Organization Name
1 = former name;
2 = professional name;
3 = doinq business as (d/b/ a) name;
4 = former legal business name;
5 = other.