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Organization

PETER DITORO MD PC

Active
Organization subpart
No

Provider details

NPI number
Authorized official
DR. PETER DITORO MD (MEDICAL DOCTOR)
(256) 536-7358
Entity
Organization

Contact information

Practice address
600 SAINT CLAIR AVE SW, BLDG 5 SUITE 10, HUNTSVILLE, AL 35801-5008
(256) 536-7358
(256) 539-4083
Mailing address
600 SAINT CLAIR AVE SW, BLDG 5 SUITE 10, HUNTSVILLE, AL 35801-5008
(256) 536-7358
(256) 539-4083

Taxonomy

Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
3910
AL

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
000001752
AL
01
4003527
AETNA
AL
Enumeration date
11/01/2009
Last updated
11/01/2009
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