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Organization
FRONT STREET FAMILY MEDICINE, P.C.
Active
Organization
FRONT STREET FAMILY MEDICINE, P.C.
Active
Other names
Front Street Family Medicine
Organization subpart
No
Provider details
NPI number
Authorized official
DR. RICHARD M DIMONTE JR. D.O. (PRESIDENT)
(610) 566-1881
Entity
Organization
Contact information
Practice address
112 W FRONT ST, MEDIA, PA 19063-3232
(610) 566-1881
(610) 566-4776
Mailing address
112 W FRONT ST, MEDIA, PA 19063-3232
(610) 566-1881
(610) 566-4776
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
OS008967L
PA
207QA0401X
Addiction Medicine (Family Medicine) Physician
OS008967L
PA
Other
Enumeration date
04/10/2012
Last updated
04/10/2012
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