Dr. Jack V Diteodoro, MD
Dr. Jack V Diteodoro, MD is a Family Practice in Stamford, Connecticut. Qualified in 1987, 39 years ago. Practices as a sole proprietor and accepts Medicare assignment. Licensed in Connecticut.
- Years since qualifying
- 39
- Licensed in
- CT
- In the registry since
- 2006
- Specialties on file
- 2
What do these letters mean?
- MD — Doctor of Medicine
- A physician who completed allopathic medical school.
Practice location Address checks out
90 Morgan St Sutie # 303Stamford, CT 06905-5466
Phone: (203) 323-6873
Fax: (203) 358-9775
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
| Family Medicine Physician (primary) | Taxonomy 207Q00000X · Licence 035558 (CT) |
|---|---|
| General Practice Physician | Taxonomy 208D00000X · Licence 035558 (CT) |
Record details
| NPI number | 1346338837 |
|---|---|
| Entity type | Individual (Type 1) |
| Gender | Male |
| Credentials | MD |
| Sole proprietor | Yes |
| NPI enumerated | October 10, 2006 |
| Last updated in NPPES | October 3, 2010 |
| Mailing address | 90 Morgan St, Sutie # 303, Stamford, CT 06905-5466 |
Medicare enrollment
| Medicare specialty | FAMILY PRACTICE |
|---|---|
| Medical school | OTHER |
| Graduated | 1987 (39 years in practice) |
| Accepts Medicare assignment | Yes — accepts the Medicare-approved amount |
Other providers in Stamford
-
Dr. Jillian Finker, ND
992 High Ridge Rd Fl 3, Stamford, CT 06905-1616 · (516) 765-3272
-
General Prize One Corp
1177 High Ridge Rd, Stamford, CT 06905-1221 · (203) 321-2158
-
Dr. Alan Jule Ranhosky, MD
2874 Long Ridge Rd, Stamford, CT 06903-1119 · (203) 329-0095
-
Dr. Richard Stephen Sackler, MD
201 Tresser Blvd, Stamford, CT 06901-3431 · (203) 588-7777