JACK V. DITEODORO M.D,LLC
Point of Service · STAMFORD, CT
Organization Active NPI 1700194636
Taxonomy & licensure
| Specialty | Code | Primary | License | State |
|---|---|---|---|---|
| Point of Service | 305S00000X | ✓ | 035558 | CT |
| Exclusive Provider Organization | 302F00000X | 035558 | CT | |
| Health Maintenance Organization | 302R00000X | 035558 | CT | |
| Preferred Provider Organization | 305R00000X | 035558 | CT |
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Source: NPPES (public domain) and CMS Medicare Physician & Other Practitioners data. Not affiliated with CMS, NPPES, or any government agency.