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Individual

RICHARD W PIDUTTI

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
MD

Contact information

Practice address
1111 FRANKLIN ST, SUITE 410, JOHNSTOWN, PA 15905-4330
(814) 536-7851
(814) 539-3649
Mailing address
1086 FRANKLIN ST, JOHNSTOWN, PA 15905-4305
(814) 410-8300
(814) 410-8331

Taxonomy

Speciality
Code
Description
License number
State
208800000X
Urology Physician
Primary
MD030673E
PA

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
0009399440002
PA
Enumeration date
07/19/2006
Last updated
06/03/2014
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