Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.
JACK V. DITEODORO M.D,LLC
Active OrganizationPoint of Service · STAMFORD, CT
Registration Details
- NPI Number
- 1700194636
- Provider Type
- Organization
- NPI Issued
- Sep 14, 2010 (15.602560406167 yrs)
- Last Updated
- Sep 14, 2010
- Licenses
-
035558 (CT)035558 (CT)035558 (CT)035558 (CT)
Practice Information
- Address
-
90 MORGAN STEET STUITE 303STAMFORD, CT, 069055436Browse CT providers · Browse ZIP 06905
- Phone
- 2033236873
- Primary Specialty
-
Point of Service
305S00000X
- Additional Specialty
- Health Maintenance Organization
- Additional Specialty
- Preferred Provider Organization
- Additional Specialty
- Point of Service
Other Point of Service Organizations in STAMFORD, CT
| Name | NPI |
|---|---|
| STAMFORD CHIROPRACTIC & REHAB CENTER, LLC | 1902107469 |
| PARKHILL HEALTH SERVICES | 1790328755 |
Data sourced from the NPPES National Provider Identifier registry. Healthcare organizations registered in NPPES are assigned an NPI number for use in insurance billing and claims. This information is for informational purposes only. For official verification, use the NPPES NPI Registry.