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Individual

DR. WALTER DITTEL

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
MD

Contact information

Practice address
680 CENTRE ST, BROCKTON, MA 02302-3308
(508) 941-7618
(508) 941-6299
Mailing address
680 CENTRE ST, BROCKTON, MA 02302-3308
(508) 941-7618
(508) 941-6299

Taxonomy

Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
MT186869
PA
208000000X
Pediatrics Physician
MT186869
PA
208M00000X
Hospitalist Physician
Primary
256967
MA

Other

Enumeration date
06/10/2008
Last updated
01/21/2025
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