Provider Demographics
NPI:1417071275
Name:DILORETO, ALBERT PATRICK (PA-C)
Entity Type:Individual
Prefix:MR
First Name:ALBERT
Middle Name:PATRICK
Last Name:DILORETO
Suffix:
Gender:M
Credentials:PA-C
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:95 HOCKANUM BLVD
Mailing Address - Street 2:UNIT 3905
Mailing Address - City:VERNON
Mailing Address - State:CT
Mailing Address - Zip Code:06066-4099
Mailing Address - Country:US
Mailing Address - Phone:305-494-4949
Mailing Address - Fax:
Practice Address - Street 1:500 CHASE PKWY
Practice Address - Street 2:
Practice Address - City:WATERBURY
Practice Address - State:CT
Practice Address - Zip Code:06708-3346
Practice Address - Country:US
Practice Address - Phone:203-755-6677
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2007-03-19
Last Update Date:2021-12-16
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CT2207363AM0700X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363AM0700XPhysician Assistants & Advanced Practice Nursing ProvidersPhysician AssistantMedical