Individual
THOMAS J CITTADINE
Active
Individual
THOMAS J CITTADINE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
M.D.
Taxonomy
Speciality
Code
Description
License number
State
204C00000X
Sports Medicine (Neuromusculoskeletal Medicine) Physician
01023844
IN
207X00000X
Orthopaedic Surgery Physician
Primary
01023844A
IN
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
100125860A
—
IN
01
—
P01424295
RR MEDICARE
—
Enumeration date
05/04/2006
Last updated
11/27/2023
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