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Organization
MARY ANN DIBIAGIO, D.O., PC
Active
Organization
MARY ANN DIBIAGIO, D.O., PC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. MARY ANN DIBIAGIO D.O. (OWNER/PRESIDENT)
(724) 758-7559
Entity
Organization
Contact information
Practice address
163 CHAPEL DR, ELLWOOD CITY, PA 16117-5003
(724) 758-7559
Mailing address
163 CHAPEL DR, ELLWOOD CITY, PA 16117-5003
(724) 758-7559
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
OS005303L
PA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
0009552780004
—
PA
Enumeration date
01/08/2015
Last updated
01/08/2015
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