Stephen M Dierks is a Urology in Gardner, Massachusetts. Stephen M Dierks practices all healthcare services and medical treatments related to Urology. The NPI Number for Stephen M Dierks is 1508857731. The last update date is 2018-10-30.
Stephen M Dierks's current location address is 250 Green St Ste 104, Gardner, Massachusetts. You can contact this provider via phone number 9786695522 and fax number 9786695521. The mailing address for Stephen M Dierks is 250 Green St Ste 104, Gardner, Massachusetts. To know further, please read the information below!
Provider Profile Detail
| Provider Name | Stephen M Dierks |
|---|---|
| Address | 250 Green St Ste 104, Gardner, Massachusetts |
| Phone Number | 9786695522 |
| Fax Number | 9786695521 |
| Sole Proprietor | N |
| Credentials | M.D. |
NPI Number Detail
| NPI Number | 1508857731 |
|---|---|
| Provider Enumeration Date | 2005-11-05 |
| Last Updated Date | 2018-10-30 |
Provider Mailing Address Detail
| Address | 250 Green St Ste 104 |
|---|---|
| City | Gardner |
| State | Massachusetts (MA) |
| Post Code | 14401377 |
| Phone Number | 9786695522 |
| Fax Number | 9786695521 |
Provider's Primary Taxonomy Detail
| Speciality | Urology |
|---|---|
| Taxonomy | 208800000X |
| Licence No | 150601 |
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Definition: A urologist manages benign and malignant medical and surgical disorders of the genitourinary system and the adrenal gland. This specialist has comprehensive knowledge of and skills in endoscopic, percutaneous and open surgery of congenital and acquir |
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Provider's Other Legacy Identifiers
| Identifier | Identifier Type | Identifier State | Identifier Issuer |
|---|---|---|---|
| 3157695 | MA | -- |
Post Comment/ Review Below
What is the unique 10-digit identification code assigned to Stephen M Dierks by the Centers for Medicare & Medicaid Services?
The Stephen M Dierks has been issued the NPI (National Provider Identifier) 1508857731, which serves as a unique identifier for healthcare providers, assigned by the Centers for Medicare & Medicaid Services (CMS).
Could you provide the complete address where Stephen M Dierks is physically located?
The Stephen M Dierks is situated at the following address: 250 Green St Ste 104, Gardner, MA 14401377.
What is the area of specialization for Stephen M Dierks, and what is the corresponding taxonomy classification code for this field?
The specialized field of practice for Stephen M Dierks is Urology, and the corresponding taxonomy code that categorizes this area of expertise is 208800000X.
When did the Stephen M Dierks receive its 1508857731?
The Stephen M Dierks was issued its 1508857731 on 2005-11-05, which is the date when the organization was assigned this unique identifier.
As of what date were the details related to Stephen M Dierks most recently updated or revised?
The information pertaining to Stephen M Dierks, including its address, specialty, and other relevant details, was last updated or revised on 2018-10-30.
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