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This product may also be called an open-ended HMO and offers a transition product incorporating features of both HMOs and PPOs. Beneficiaries are enrolled in an HMO but have the option to go outside the networks for an additional cost.
Specialty |
Taxonomy Code | Specialty Code | Provider Type | |
Point of Service |
305S00000X | |||
Exclusive Provider Organization |
302F00000X | |||
Health Maintenance Organization |
302R00000X | |||
Preferred Provider Organization |
305R00000X |
| NPI Number | 1700194636 |
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| LBN Legal business name | JACK V. DITEODORO M.D,LLC | ||||||||
| Authorized official | JACK DITEODORO - (OWNER) | ||||||||
| Entity | Organization | ||||||||
| Organization subpart 1 | No | ||||||||
| Enumeration date | 09/14/2010 | ||||||||
| Last updated | 09/14/2010 - About 16 years ago | ||||||||
| Identifiers |
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JACK V. DITEODORO M.D,LLC