Thomas Difato
Radiology, Diagnostic Radiology in Newport News, VA. Individual provider (NPI-1).
NPI number1417344292
StatusActive
Last updated in NPPESMay 28, 2021
Details
- NPI
- 1417344292
- Entity type
- Individual (NPI-1)
- Name
- Thomas Difato
- Sex
- Male
- Sole proprietor
- No
- Enumeration date
- Apr 20, 2015
- Certification date
- May 28, 2021
- Last updated
- May 28, 2021
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 2085R0202X | Radiology, Diagnostic Radiology | ME150167 | FL | Yes |
| 390200000X | Student in an Organized Health Care Education/Training Program | – | – |
Practice location
500 J Clyde Morris BlvdNewport News, VA 23601-1929
Phone 757-594-3945
Mailing address
500 J Clyde Morris BlvdNewport News, VA 23601-1929
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