Didimamoff, Ellen Marie
Didimamoff, Ellen Marie is an individual health care provider with primary practice located at 497 Bushkill Plaza Ln , Wind Gap PA 18091-9665. She recently has only one registered license in Allopathic & Osteopathic Physicians / Family Medicine, which is considered as her primary health care specialty. Didimamoff, Ellen Marie can be contacted via phone (610) 863-7020.Contact Information
Primary practice address
497 Bushkill Plaza Ln
Wind Gap PA 18091-9665
Phone: (610) 863-7020
Fax: (610) 863-5504
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Family Medicine | 207Q00000X | MD423610 | Pennsylvania |
Profile Details
| NPI number | 1578551248 |
|---|---|
| LBN Legal business name | Didimamoff, Ellen Marie |
| Credentials | Doctor of Medicine (MD) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Oct 7th, 2005 |
| Last updated | Oct 13th, 2014 - about 10 years ago |
1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.
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