Jack V Diteodoro M D, LLC
Jack V Diteodoro M D, LLC is an Exclusive Provider Organization in Stamford, Connecticut. Licensed in Connecticut. Registered with an NPI since 2010.
- Licensed in
- CT
- In the registry since
- 2010
- Specialties on file
- 4
What do these letters mean?
- LLC — Limited liability company
- A form of business registration, not a clinical qualification.
Practice location Address checks out
90 Morgan Steet Stuite 303Stamford, CT 06905-5436
Phone: (203) 323-6873
Show map & directions
Directions in Google Maps · Apple Maps · OpenStreetMap
Pin is approximate — placed at the ZIP-code centre, not the exact door.
Specialties & licences
| Point of Service (primary) | Taxonomy 305S00000X · Licence 035558 (CT) |
|---|---|
| Exclusive Provider Organization | Taxonomy 302F00000X · Licence 035558 (CT) |
| Health Maintenance Organization | Taxonomy 302R00000X · Licence 035558 (CT) |
| Preferred Provider Organization | Taxonomy 305R00000X · Licence 035558 (CT) |
Record details
| NPI number | 1700194636 |
|---|---|
| Entity type | Organization (Type 2) |
| Organization subpart | No |
| Authorized official | Jack Diteodoro — Owner · (203) 323-6873 |
| NPI enumerated | September 14, 2010 |
| Last updated in NPPES | September 14, 2010 |
| Mailing address | 90 Morgan St Ste 303, Stamford, CT 06905-5436 |
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