# FRONT STREET FAMILY MEDICINE, P.C.

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- **Entity:** Organization
- **Status:** Active
- **Other names:** Front Street Family Medicine
- **Organization subpart:** No

## Provider details

- **NPI number:** 1730445198
- **Authorized official:** DR. RICHARD M DIMONTE JR. D.O. (PRESIDENT)
- **Authorized official phone:** (610) 566-1881

## Contact information

- **Practice address:** 112 W FRONT ST, MEDIA, PA 19063-3232
- **Practice address phone:** (610) 566-1881
- **Practice address fax:** (610) 566-4776
- **Mailing address:** 112 W FRONT ST, MEDIA, PA 19063-3232
- **Mailing address phone:** (610) 566-1881
- **Mailing address fax:** (610) 566-4776

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 207Q00000X | Family Medicine Physician | OS008967L | PA | Yes |
| 207QA0401X | Addiction Medicine (Family Medicine) Physician | OS008967L | PA | — |

## Other

- **Enumeration date:** 04/10/2012
- **Last updated:** 04/10/2012