Pidutti, Richard W

Pidutti, Richard W is an individual health care provider with primary practice located at 1111 Franklin St Suite 410, Johnstown PA 15905-4330. He recently has only one registered license in Allopathic & Osteopathic Physicians / Urology, which is considered as his primary health care specialty. Pidutti, Richard W can be contacted via phone (814) 536-7851.

Contact Information

Primary practice address
1111 Franklin St Suite 410 Johnstown PA 15905-4330
Fax: (814) 539-3649
Website:

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Urology 208800000X MD030673E Pennsylvania

Profile Details

NPI number 1215956016
LBN Legal business name Pidutti, Richard W
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Jul 19th, 2006
Last updated Jun 3rd, 2014 - about 10 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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Identifiers

StateTypeNumberIssuer
All States NPI 1215956016 NPPES
Pennsylvania MEDICAID 0009399440002

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