Individual
MICHAEL ANTHONY DITORE
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
PMH-NP
Contact information
Practice address
537 E ALLEGHENY AVE, PHILADELPHIA, PA 19134-2328
(215) 921-9500
(215) 291-1881
Mailing address
160 TURNERS POND DR, LINCOLN UNIVERSITY, PA 19352-1757
(302) 668-9584
Taxonomy
Speciality
Code
Description
License number
State
363LP0808X
Psychiatric/Mental Health Nurse Practitioner
L8-0010367
DE
363LP0808X
Psychiatric/Mental Health Nurse Practitioner
Primary
SP030531
PA
Other
Enumeration date
11/22/2022
Last updated
02/24/2026
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