Doctor Name: | CARMEN DIMARIO |
NPI Number: | 1023348158 |
Entity Type Code: | Individual (1) |
Gender: | M |
Credentials: | D.O. |
License Number: | OS-004-046-L |
Business Practice Address: | 101 Greenwood Ave Jenkintown, PA - 190462627 |
Business Phone Number: | 2158864800 |
Business Fax Number: | |
Mailing Address: | 1851 Huntsman Ln, WEST CHESTER |
State: | PA |
Postal Code: | 193826962 |
Phone Number: | |
Fax Number: | |
NPI Enumeration Date: | 01/13/2010 |
NPI Last Update Date: | 01/13/2010 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 208D00000X |
License Number: | OS-004-046-L |
Healthcare Provider Taxonomy: (Secondary) | N |
State: | PA |
Taxonomy Type: | Allopathic & Osteopathic Physicians |
Taxonomy Classification: | General Practice |
Taxonomy Specialization: | |
Taxonomy Definition: |