Individual
JOSEPH M TITO
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
1312 PRENTICE DR, HEALDSBURG, CA 95448-3381
(707) 433-3383
Mailing address
1375 UNIVERSITY ST, HEALDSBURG, CA 95448-3382
(707) 433-3383
Taxonomy
Speciality
Code
Description
License number
State
208600000X
Surgery Physician
Primary
213255
MA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
0172928
—
MA
Enumeration date
05/01/2006
Last updated
07/27/2020
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