Dimatteo, Molly K

Dimatteo, Molly K is an individual health care provider with primary practice located at 6998 Crider Rd Ste 210 , Mars PA 16046-2390. She recently has only one registered license in Allopathic & Osteopathic Physicians / Family Medicine, which is considered as her primary health care specialty. Dimatteo, Molly K can be contacted via phone (724) 778-1601.

Contact Information

Primary practice address
6998 Crider Rd Ste 210 Mars PA 16046-2390
Fax: (724) 778-1603
Website:

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Family Medicine 207Q00000X OS018630 Pennsylvania

Profile Details

NPI number 1821351925
LBN Legal business name Dimatteo, Molly K
Credentials Doctor of Osteopathy (DO)
Entity Individual
Sole proprietor 1 No
Enumeration date Jun 22nd, 2012
Last updated Oct 8th, 2020 - about 4 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 1821351925 NPPES
Pennsylvania MEDICAID 103302106

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