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Individual
THOMAS JOHN DIMARIA
Active
Individual
THOMAS JOHN DIMARIA
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
CRNP
Taxonomy
Speciality
Code
Description
License number
State
363L00000X
Nurse Practitioner
Primary
SP017142
PA
363LF0000X
Family Nurse Practitioner
SP017142
PA
Other
Enumeration date
02/07/2017
Last updated
12/18/2020
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