Dittel, Walter
Dittel, Walter is an individual health care provider with primary practice located at 680 Centre St , Brockton MA 02302-3308. He recently has 2 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Internal Medicine, Allopathic & Osteopathic Physicians / Pediatrics. Allopathic & Osteopathic Physicians / Internal Medicine is his primary health care specialty. Dittel, Walter can be contacted via phone (508) 941-7618.Contact Information
Primary practice address
680 Centre St
Brockton MA 02302-3308
Phone: (508) 941-7618
Fax: (508) 941-6299
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Internal Medicine | 207R00000X | MT186869 | Pennsylvania |
| Allopathic & Osteopathic Physicians / Pediatrics | 208000000X | MT186869 | Pennsylvania |
| Allopathic & Osteopathic Physicians / Internal Medicine | 207R00000X | 256967 | Massachusetts |
Profile Details
| NPI number | 1497915813 |
|---|---|
| LBN Legal business name | Dittel, Walter |
| Credentials | Doctor of Medicine (MD) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Jun 10th, 2008 |
| Last updated | May 27th, 2015 - about 11 years ago |
1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.
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