Individual
DR. PETER A DICORLETO
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
1832 WARD DR, SUITE 102, MURFREESBORO, TN 37129-0568
(615) 893-0790
(615) 893-0772
Mailing address
1832 WARD DR, SUITE 102, MURFREESBORO, TN 37129-0568
(615) 893-0790
(615) 893-0772
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
22875
CT
207R00000X
Internal Medicine Physician
Primary
28537
TN
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
22875
MEDICAL LICENSE
CT
01
—
28537
MEDICAL LICENSE
TN
05
—
3804078
—
TN
Enumeration date
10/12/2005
Last updated
03/07/2023
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