NPI | 1740931252 |
---|---|
Former Legal Business Name | PETER A DICORLETO MD PC |
Entity Type | Organization |
Authorized Contact | PETER A DICORLETO Authorized Official 615-893-0790 |
Organization Subpart ? | No |
Primary Taxonomy | 207R00000X Internal Medicine |
Additional Taxonomies | 207Q00000X Family Medicine |
Enumeration Date | 2022-01-17 |
Last Update Date | 2025-07-29 |