ROBERT A DITULLIO, MD
Medical Practice at Washington St, Quincy, MA

License number
Massachusetts 25475
Category
Medical Practice
Type
Specialist
Owner
Name: ROBERT DITULLIO M.D.
Title: CEO
Phone: (617) 471-5290
Address
Address
157 Washington St, Quincy, MA 02169
National Provider ID: 1639374499
LicenseFiles verified this license of Nov 7, 2017 at the National Plan and Provider Enumeration System.

Organization information

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ROBERT A DITULLIO, M.D., F.A.C.S., INC

157 Washington St, Quincy, MA 02169

Status:
Inactive
Registration:
May 7, 1971
Inactive since:
Jun 30, 2012
State ID:
042479989
Business type:
Professional Corporation
President:
Robert A. Ditullio (President), 24 Little Hbr Rd, Cohasset, MA (Physical)
Agent:
Robert A Ditullio,157 Washington St, Quincy, MA 02169 (Physical)

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