Individual
DR. RICHARD J DITLOW JR.
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
775 S ARLINGTON AVE, HARRISBURG, PA 17109-5002
(717) 541-9240
(717) 541-9243
Mailing address
2501 OREGON PIKE, SUITE 101, LANCASTER, PA 17601-4890
(717) 293-3223
(717) 390-2455
Taxonomy
Speciality
Code
Description
License number
State
2085R0001X
Radiation Oncology Physician
Primary
MD016970E
PA
2085R0203X
Therapeutic Radiology Physician
MD016970E
PA
Other
Enumeration date
09/12/2005
Last updated
12/12/2020
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