Individual
JOHN ALLEN DITRI
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
590 COURT ST, KEENE, NH 03431-1719
(603) 354-5454
Mailing address
590 COURT ST, KEENE, NH 03431-1719
(603) 354-5454
Taxonomy
Speciality
Code
Description
License number
State
208100000X
Physical Medicine & Rehabilitation Physician
036177891
IL
208100000X
Physical Medicine & Rehabilitation Physician
Primary
11444
NH
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
01Y003572NH01
ANTHEM BC/BS OF NH
NH
01
—
1008513
VT EDS MEDICAID
NH
01
—
11444
MEDICAL LICENSE NUMBER
—
01
—
12558721
BC OF VERMONT
VT
01
—
250013258
RAILROAD MEDICARE PROV #
NH
05
—
30201891
—
NH
Enumeration date
08/30/2006
Last updated
03/06/2026
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