Organization · Type 2 NPI
Jack V. Diteodoro M.d,llc
Point of Service · Stamford, CT
NPI number
1700194636
Active
Practice location
90 Morgan Steet Stuite 303
Stamford, CT 06905-5436
Mailing address
90 Morgan St Ste 303
Stamford, CT 06905-5436
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Exclusive Provider Organization | 302F00000X | 035558 (CT) |
| Health Maintenance Organization | 302R00000X | 035558 (CT) |
| Preferred Provider Organization | 305R00000X | 035558 (CT) |
| Point of Service Primary | 305S00000X | 035558 (CT) |
Point of Service: This product may also be called an open-ended HMO and offers a transition product incorporating features of both HMOs and PPOs. Beneficiaries are enrolled in an HMO but have the option to go outside the networks for an additional cost.
Other point of service providers in Stamford
About NPI 1700194636
Jack V. Diteodoro M.d,llc's National Provider Identifier is 1700194636, issued on Sep 14, 2010. The primary taxonomy on file is Point of Service (305S00000X), and the practice location is in Stamford, CT. The record was last updated on Sep 14, 2010.