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Individual

BETH ANN DITKOFF

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
F
Credential
MD

Contact information

Practice address
32 STRAWBERRY HILL CT, SUITE 8, STAMFORD, CT 06902-2594
(203) 276-4255
(203) 276-4259
Mailing address
32 STRAWBERRY HILL CT, SUITE 8, STAMFORD, CT 06902-2594
(203) 276-4255
(203) 276-4259

Taxonomy

Speciality
Code
Description
License number
State
208600000X
Surgery Physician
Primary
042643
CT

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
0803905
CIGNA
CT
01
2V5578
HEALTH NET
CT
01
3630H1
EMPIRE BC/BS
CT
01
3632337
AETNA
CT
01
426430
CONNECTICARE
CT
01
P00206735
RAILROAD MEDICARE
CT
01
P421476
OXFORD HEALTH PLANS
CT
01
TIN
NEHCA HMC/PPO
CT
Enumeration date
07/17/2006
Last updated
07/13/2007
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