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Dr. Jack V Diteodoro, MD
Family Medicine Physician in Stamford, Connecticut
NPI 1346338837

Jack V Diteodoro is a Family Medicine Physician based in Stamford, CT. Jack V Diteodoro practices in Stamford, CT and has the professional credentials of MD. The NPI Number for Jack V Diteodoro is 1346338837 and holds a License No. 035558 (Connecticut).

The current practice location address for Jack V Diteodoro is 90 Morgan St, Stamford, CT and can be reached out via phone at 203-323-6873 and via fax at 203-358-9775.

Location: 90 Morgan St, Stamford, CT, 06905-5466
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
person
Provider Profile Details
NPI Number
1346338837
Provider Name
Jack V Diteodoro
Credential
MD
Provider Entity Type
Individual
Gender
Male
Address
90 Morgan St, Stamford, CT, 06905-5466
Phone Number
203-323-6873
Fax Number
203-358-9775
Provider Enumeration Date
10/10/2006
Last Update Date
03/08/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
001355587 05 CT
1700194636 01 CT NPI
institution
Provider Business Practice Location Address Details
Address
90 Morgan St
City
Stamford
State
Connecticut
Zip
06905-5466
Phone Number
203-323-6873
Fax Number
203-358-9775
person
Provider Business Mailing Address Details
Address
90 Morgan St
City
Stamford
State
Connecticut
Zip
06905-5466
Phone Number
203-323-6873
Fax Number
203-358-9775
person
Provider's Taxonomy Details 1
Type
Allopathic & Osteopathic Physicians
Classification
Family Medicine
Speciality
-
Taxonomy
207Q00000X
License No.
035558 (Connecticut)
Definition
Family Medicine is the medical specialty which is concerned with the total health care of the individual and the family. It is the specialty in breadth which integrates the biological, clinical, and behavioral sciences. The scope of family medicine is not limited by age, sex, organ system, or disease entity.
person
Provider's Taxonomy Details 2
Type
Allopathic & Osteopathic Physicians
Classification
General Practice
Speciality
-
Taxonomy
208D00000X
License No.
035558 (Connecticut)
Definition
Definition to come...
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