Dimaggio, Marjorie A

Dimaggio, Marjorie A is an individual health care provider with primary practice located at 1821 S Stoughton Rd , Madison WI 53716-2257. She recently has 2 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Internal Medicine, Allopathic & Osteopathic Physicians / Geriatric Medicine. Allopathic & Osteopathic Physicians / Geriatric Medicine is her primary health care specialty. Dimaggio, Marjorie A can be contacted via phone (608) 260-6000.

Contact Information

Primary practice address
1821 S Stoughton Rd Madison WI 53716-2257
Phone: (608) 260-6000
Fax: (608) 260-6451
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Internal Medicine 207R00000X 33717-020 Wisconsin
Allopathic & Osteopathic Physicians / Geriatric Medicine 207RG0300X 33717 Wisconsin

Profile Details

NPI number 1164476388
LBN Legal business name Dimaggio, Marjorie A
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date May 20th, 2006
Last updated May 18th, 2022 - about 3 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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Identifiers

StateTypeNumberIssuer
All States NPI 1164476388 NPPES
Wisconsin MEDICAID 1164476388

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