Jack V Diteodoro in Stamford - Family Medicine

Jack V Diteodoro - NPI 1346338837

Jack V Diteodoro is a Family Medicine in Stamford, Connecticut. Jack V Diteodoro practices all healthcare services and medical treatments related to Family Medicine. The NPI Number for Jack V Diteodoro is 1346338837. The last update date is 2010-10-03.

Jack V Diteodoro's current location address is 90 Morgan St, Stamford, Connecticut. You can contact this provider via phone number 2033236873 and fax number 2033589775. The mailing address for Jack V Diteodoro is 90 Morgan St, Stamford, Connecticut. To know further, please read the information below!

Provider Profile Detail

Provider Name Jack V Diteodoro
Address 90 Morgan St, Stamford, Connecticut
Phone Number 2033236873
Fax Number 2033589775
Sole Proprietor Y
Credentials M.D.

NPI Number Detail

NPI Number 1346338837
Provider Enumeration Date 2006-10-10
Last Updated Date 2010-10-03

Provider Mailing Address Detail

Address 90 Morgan St
City Stamford
State Connecticut (CT)
Post Code 69055466
Phone Number 2033236873
Fax Number 2033589775

Provider's Primary Taxonomy Detail

Speciality Family Medicine
Taxonomy 207Q00000X
Licence No 35558
Definition:
Family Medicine is the medical specialty which is concerned with the total health care of the individual and the family. It is the specialty in breadth which integrates the biological, clinical, and behavioral sciences. The scope of family medicine i

Provider's Other Legacy Identifiers

Identifier Identifier Type Identifier State Identifier Issuer
1355587 CT --
1700194636 CT NPI

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FAQs about Jack V Diteodoro

What is the unique 10-digit identification code issued to Jack V Diteodoro by the Centers for Medicare & Medicaid Services?

The Jack V Diteodoro has been assigned the NPI (National Provider Identifier) 1346338837 by the Centers for Medicare & Medicaid Services (CMS). This 10-digit code serves as a unique identifier for healthcare providers.

Could you kindly provide the complete physical address where Jack V Diteodoro's facilities are geographically located?

The facilities of Jack V Diteodoro are physically situated at the following location: 90 Morgan St, Stamford, CT, 69055466.

What is Jack V Diteodoro's area of expertise and its corresponding taxonomy classification?

The Jack V Diteodoro's field of specialization is Family Medicine, and it falls under the taxonomy code 207Q00000X, which categorizes healthcare providers based on their areas of practice.

On what date did the Jack V Diteodoro receive the assignment of its 1346338837 from the Centers for Medicare & Medicaid Services?

The Jack V Diteodoro was issued its 1346338837 by the Centers for Medicare & Medicaid Services on 2006-10-10.

When was the information regarding Jack V Diteodoro, such as address, specialty, and other details, most recently verified or confirmed to be accurate?

The information pertaining to Jack V Diteodoro, including its address, specialty, and other relevant details, was most recently verified or confirmed to be accurate on 2010-10-03.

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