Doctor Name: | MR. EMIL DIB |
NPI Number: | 1104818970 |
Entity Type Code: | Individual (1) |
Gender: | M |
Credentials: | MD |
License Number: | MD064588L |
Business Practice Address: | 81 Hillcrest Dr Suite 2200 Punxsutawney, PA - 157672605 |
Business Phone Number: | 8149383343 |
Business Fax Number: | 8149383369 |
Mailing Address: | 81 Hillcrest Dr, Suite 2200 PUNXSUTAWNEY |
State: | PA |
Postal Code: | 157672605 |
Phone Number: | 8149383343 |
Fax Number: | 8149383369 |
NPI Enumeration Date: | 08/18/2005 |
NPI Last Update Date: | 09/04/2012 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 174400000X |
License Number: | MD064588L |
Healthcare Provider Taxonomy: (Secondary) | N |
State: | PA |
Taxonomy Type: | Other Service Providers |
Taxonomy Classification: | Specialist |
Taxonomy Specialization: | |
Taxonomy Definition: | An individual educated and trained in an applied knowledge discipline used in the performance of work at a level requiring knowledge and skills beyond or apart from that provided by a general education or liberal arts degree. |