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Individual

KARA E DITTO

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
M.D.

Contact information

Practice address
1320 CENTRAL PARK BLVD STE 200, FREDERICKSBURG, VA 22401-4953
(800) 442-8938
Mailing address
1120 ROUTE 73 STE 300, MOUNT LAUREL, NJ 08054-5113
(800) 442-8938
(856) 861-1384

Taxonomy

Speciality
Code
Description
License number
State
2084P0800X
Psychiatry Physician
Primary
0101234072
VA
2084P0800X
Psychiatry Physician
C169234
CA

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
010006708
VA
Enumeration date
10/25/2005
Last updated
07/14/2023
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