Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 213ES0103X | Foot & Ankle Surgery | MD001931 | NJ |
N | 213ES0131X | Foot Surgery | N004493 | NY |
NPI | 1376634584 |
---|---|
Provider Name | Dr. Dino Ditrolio |
First Address | Westwood, NJ 07675-2241 |
Second Address | Westwood, NJ 07675-2241 |
Gender | M |
NPI Entity type | Individual |
Is Sole Proprietor | Yes |
Is Organization Subpart | N/A |
Enumeration Date | 27/09/2006 |
Last Update Date | 25/11/2015 |
IDENTIFIER | TYPE / CODE | IDENTIFIER STATE |
---|---|---|
01131442 | (05) | NY |
5581109 | (05) | NJ |
T81579 | (02) | NJ |