Individual
JASON R. DIVITO
Active
Individual
JASON R. DIVITO
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
D.O.
Taxonomy
Speciality
Code
Description
License number
State
2085R0202X
Diagnostic Radiology Physician
007458
AZ
2085R0202X
Diagnostic Radiology Physician
074747
GA
2085R0202X
Diagnostic Radiology Physician
17114
ND
2085R0202X
Diagnostic Radiology Physician
2020038652
MO
2085R0202X
Diagnostic Radiology Physician
Primary
OS15181
FL
Other
Enumeration date
04/04/2013
Last updated
11/13/2025
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