Individual
DR. ETHAN DMITROVSKY
Active
Individual
DR. ETHAN DMITROVSKY
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Taxonomy
Speciality
Code
Description
License number
State
207RX0202X
Medical Oncology Physician
Primary
10464
NH
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
0RE5035
—
VT
05
—
30200062
—
NH
Enumeration date
09/20/2006
Last updated
07/22/2011
Update your record
If you believe information in your NPPES record is inaccurate, or if you wish to update or deactivate your NPI, you can do so directly with CMS at https://nppes.cms.hhs.gov.
About Stedi
Stedi is the only programmable healthcare clearinghouse. You can use Stedi's APIs to process eligibility checks, claims, remits, and more.
Sign up