Dimento, Johanna Mary
Dimento, Johanna Mary is an individual health care provider with primary practice located at 291 Stoner Ave , Westminster MD 21157-5647. She recently has only one registered license in Allopathic & Osteopathic Physicians / Hematology & Oncology, which is considered as her primary health care specialty. Dimento, Johanna Mary can be contacted via phone (410) 871-6400.Contact Information
Primary practice address
291 Stoner Ave
Westminster MD 21157-5647
Phone: (410) 871-6400
Fax: (410) 871-6248
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Hematology & Oncology | 207RH0003X | D0071746 | Maryland |
Profile Details
| NPI number | 1649249376 |
|---|---|
| LBN Legal business name | Dimento, Johanna Mary |
| Credentials | Doctor of Medicine (MD) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Mar 15th, 2006 |
| Last updated | Oct 3rd, 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.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1649249376 | NPPES |
| Maryland | MEDICAID | 332232700 |
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