Individual
DOUGLAS D DITMARS
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
2111 WASHINGTON BLVD, EASTON, PA 18042-3803
(610) 253-9617
(610) 253-6705
Mailing address
PO BOX 20847, LEHIGH VALLEY, PA 18002-0847
(610) 691-0973
(610) 332-2847
Taxonomy
Speciality
Code
Description
License number
State
207X00000X
Orthopaedic Surgery Physician
Primary
MD01439E
PA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
0006366410001
—
PA
Enumeration date
07/12/2005
Last updated
07/08/2007
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