Whalio Doctors

NPI 1447252812

Kevin Michael Diette, MD

Practitioner Dermatology Physician Milford, CT

Practice location

Address
88 Noble Ave, Milford, CT 06460-4738
Phone
(203) 878-3435
Fax
(203) 783-9689

Registered specialties

Dermatology Physician Primary
Allopathic & Osteopathic Physicians Taxonomy 207N00000X Licence 024290 (CT)

Registry record

NPI
1447252812
Entity type
Individual
Sex (as registered)
Male
NPI issued
15 Aug 2005
Record last updated
4 Oct 2007

Reproduced from NPPES, the federal provider registry. The date above is when the provider last updated their own entry, not when we fetched it - a record can be years old and still current in the registry.