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Individual

DR. JOSHUA EUGENE DITTMER

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
M.D.

Contact information

Practice address
8300 HEALTH PARK STE 201, RALEIGH, NC 27615-4731
(919) 322-8832
(919) 747-2928
Mailing address
805 GLENWOOD AVE, RALEIGH, NC 27605-1509
(919) 322-8832
(919) 747-2928

Taxonomy

Speciality
Code
Description
License number
State
2084P0800X
Psychiatry Physician
Primary
200800745
NC

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
5909700
NC
Enumeration date
01/04/2007
Last updated
01/11/2018
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