Doctor Name: | MARY ANN DELLOSTRETTO |
NPI Number: | 1063602225 |
Entity Type Code: | Individual (1) |
Gender: | F |
Credentials: | CPNP-PC |
License Number: | VP000948D |
Business Practice Address: | 2705 Dekalb Pike Suite 205 Norristown, PA - 194011852 |
Business Phone Number: | 6102776400 |
Business Fax Number: | 6102758861 |
Mailing Address: | 2705 Dekalb Pk., Suite 205 NORRISTOWN |
State: | PA |
Postal Code: | 194011852 |
Phone Number: | 6102776400 |
Fax Number: | 6102758861 |
NPI Enumeration Date: | 07/25/2007 |
NPI Last Update Date: | 07/25/2007 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 363LP0200X |
License Number: | VP000948D |
Healthcare Provider Taxonomy: (Secondary) | Y |
State: | PA |
Taxonomy Type: | Physician Assistants & Advanced Practice Nursing Providers |
Taxonomy Classification: | Nurse Practitioner |
Taxonomy Specialization: | Pediatrics |
Taxonomy Definition: |