1700194636 JACK V. DITEODORO M.D,LLC
Point of Service
Active
Basic Information
- Organization Name
- JACK V. DITEODORO M.D,LLC
- Enumeration Date
- September 14, 2010
- Last Update
- September 14, 2010
- Authorized Official
- DR. JACK V DITEODORO M.D.
OWNER
Phone: (203) 323-6873
Practice Location
- Address
- 90 MORGAN STEET STUITE 303
STAMFORD, CT 069055436 - Phone
- (203) 323-6873
Mailing Address
- Address
- 90 MORGAN ST STE 303
STAMFORD, CT 069055436 - Phone
- (203) 323-6873
Specialties & Taxonomies
| Specialty | Code | Classification | License | State | Primary |
|---|---|---|---|---|---|
| Exclusive Provider Organization | 302F00000X | Exclusive Provider Organization | 035558 | CT | No |
| Health Maintenance Organization | 302R00000X | Health Maintenance Organization | 035558 | CT | No |
| Preferred Provider Organization | 305R00000X | Preferred Provider Organization | 035558 | CT | No |
| Point of Service | 305S00000X | Point of Service | 035558 | CT | Primary |
Other Identifiers
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 001355587 | 05 | CT | N/A |
Frequently Asked Questions
What is JACK V. DITEODORO M.D,LLC's NPI number?
JACK V. DITEODORO M.D,LLC's NPI number is 1700194636.
Which doctor has NPI number 1700194636?
The doctor with NPI number 1700194636 is JACK V. DITEODORO M.D,LLC.
What is JACK V. DITEODORO M.D,LLC's practice address?
JACK V. DITEODORO M.D,LLC's practice address is 90 MORGAN STEET STUITE 303, STAMFORD, CT, 069055436.
Which doctor practices at 90 MORGAN STEET STUITE 303, STAMFORD, CT, 069055436?
JACK V. DITEODORO M.D,LLC practices at 90 MORGAN STEET STUITE 303, STAMFORD, CT, 069055436.
What is JACK V. DITEODORO M.D,LLC's mailing address?
JACK V. DITEODORO M.D,LLC's mailing address is 90 MORGAN ST STE 303, STAMFORD, CT, 069055436.
What is JACK V. DITEODORO M.D,LLC's phone number?
JACK V. DITEODORO M.D,LLC's phone number is (203) 323-6873.
Who is (203) 323-6873?
(203) 323-6873 is the phone number for JACK V. DITEODORO M.D,LLC.
What is JACK V. DITEODORO M.D,LLC's specialty?
JACK V. DITEODORO M.D,LLC's specialty is Point of Service.
What type of doctor is JACK V. DITEODORO M.D,LLC?
JACK V. DITEODORO M.D,LLC is a Point of Service.
Is JACK V. DITEODORO M.D,LLC a Point of Service?
Yes, JACK V. DITEODORO M.D,LLC is a Point of Service.
Is JACK V. DITEODORO M.D,LLC still practicing?
Yes, JACK V. DITEODORO M.D,LLC is currently practicing.
Is JACK V. DITEODORO M.D,LLC accepting new patients?
JACK V. DITEODORO M.D,LLC may be accepting new patients. Please call their office at (203) 323-6873 to inquire about availability.
Is NPI 1700194636 still active?
Yes, NPI 1700194636 is currently active.
Where does JACK V. DITEODORO M.D,LLC practice?
JACK V. DITEODORO M.D,LLC practices in STAMFORD, CT.