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Organization
THOMAS H. DITTMAN, M.D.
Active
Organization
THOMAS H. DITTMAN, M.D.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. THOMAS H DITTMAN M.D. (PHYSICIAN)
(570) 453-0550
Entity
Organization
Contact information
Practice address
20 N LAUREL ST, SUITE 2 E, HAZLETON, PA 18201-5948
(570) 453-0550
(570) 453-0138
Mailing address
20 N LAUREL ST, SUITE 2 E, HAZLETON, PA 18201-5948
(570) 453-0550
(570) 453-0138
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
Primary
MD015439E
PA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
0009513120002
—
PA
Enumeration date
06/14/2007
Last updated
08/22/2020
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