Dimaggio, Olivia Theresa
Dimaggio, Olivia Theresa is an individual health care provider with primary practice located at 100 Granite Dr Ste 200, Media PA 19063. She recently has only one registered license in Allopathic & Osteopathic Physicians / Pediatrics, which is considered as her primary health care specialty. Dimaggio, Olivia Theresa can be contacted via phone (610) 565-1945.Contact Information
Primary practice address
100 Granite Dr Ste 200
Media PA 19063
Phone: (610) 565-1945
Fax: (610) 892-7848
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Pediatrics | 208000000X | MD019717E | Pennsylvania |
Profile Details
| NPI number | 1316908031 |
|---|---|
| LBN Legal business name | Dimaggio, Olivia Theresa |
| Credentials | Doctor of Medicine (MD) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Mar 31st, 2006 |
| Last updated | Jul 8th, 2007 - about 17 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.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1316908031 | NPPES |
| Pennsylvania | MEDICAID | 0887973 |
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