DR. Jack V Diteodoro, M.D.
NPI #1346338837 in Stamford, Connecticut
Provider Information
- NPI Number
- 1346338837
- Entity Type
- Individual
- Name
- DR. Jack V Diteodoro, M.D.
- Gender
- Not Specified
- Sole Proprietor
- Yes
- Primary Specialty
- Family Medicine
- Credential
- M.D.
- Enumeration Date
- Oct 10, 2006
- Last Updated
- Oct 3, 2010
Practice Location
- Address
- 90 MORGAN ST
- Address 2
- SUTIE # 303
- City
- Stamford
- State
- Connecticut
- ZIP Code
- 06905-5466
- Phone
- (203) 323-6873
Specialties & Taxonomy Codes
| Specialty |
|---|
| General Practice |
| Family Medicine |
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