Organization
MICHAEL V DITULLIO JR MD LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. MICHAEL V DITULLIO MD (PHYSICAN)
(508) 238-8646
Entity
Organization
Contact information
Practice address
55 FOGG RD, SOUTH WEYMOUTH, MA 02190-2432
(781) 340-8632
Mailing address
944 WASHINGTON ST, SUITE ONE, SOUTH EASTON, MA 02375-1177
(508) 238-8646
(508) 230-9772
Taxonomy
Speciality
Code
Description
License number
State
207T00000X
Neurological Surgery Physician
Primary
32515
MA
Other
Enumeration date
08/14/2007
Last updated
08/14/2007
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