Individual
DR. CALLISTUS N. DITAH
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
739 IRVING AVE, SUITE 640, SYRACUSE, NY 13210-5095
(315) 464-6255
(615) 464-6251
Mailing address
739 IRVING AVE, SUITE 640, SYRACUSE, NY 13210-5095
(315) 464-6255
(615) 464-6251
Taxonomy
Speciality
Code
Description
License number
State
208G00000X
Thoracic Surgery (Cardiothoracic Vascular Surgery) Physician
Primary
330140
NY
208G00000X
Thoracic Surgery (Cardiothoracic Vascular Surgery) Physician
MD61423828
WA
Other
Enumeration date
05/07/2015
Last updated
08/15/2024
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