Individual
MR. JOHN ERIC DITZENBERGER
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
695 DUTCHESS TPKE, SUITE 105, POUGHKEEPSIE, NY 12603-6442
(888) 647-5979
Mailing address
506 MELROSE AVE, MIDDLESEX, NJ 08846-2342
(732) 748-8893
Taxonomy
Speciality
Code
Description
License number
State
2085R0202X
Diagnostic Radiology Physician
Primary
2383281
NY
2085R0202X
Diagnostic Radiology Physician
25MA07167900
NJ
Other
Enumeration date
07/31/2006
Last updated
07/08/2007
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