| Thomas H. Dittman, M.d. | |
|
20 N Laurel St Suite 2 E Hazleton PA 18201-5948 | |
| (570) 453-0550 | |
| (570) 453-0138 |
| Full Name | Thomas H. Dittman, M.d. |
|---|---|
| Speciality | Internal Medicine |
| Location | 20 N Laurel St, Hazleton, Pennsylvania |
| Authorized Official Name and Position | Thomas H Dittman (PHYSICIAN) |
| Authorized Official Contact | 5704530550 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Thomas H. Dittman, M.d. 20 N Laurel St Suite 2 E Hazleton PA 18201-5948 Ph: (570) 453-0550 | Thomas H. Dittman, M.d. 20 N Laurel St Suite 2 E Hazleton PA 18201-5948 Ph: (570) 453-0550 |
| NPI Number | 1245434893 |
|---|---|
| Provider Enumeration Date | 06/14/2007 |
| Last Update Date | 08/22/2020 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1245434893 | NPI | - | NPPES |
| 0009513120002 | Medicaid | PA |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207R00000X | Internal Medicine | MD015439E (Pennsylvania) | Primary |
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