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Individual

DR. DONALD DURAND DIVERIO JR.

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
D.O.

Contact information

Practice address
1165 CENTRE TPKE, ORWIGSBURG, PA 17961-9343
(272) 639-5130
Mailing address
801 OSTRUM ST, BETHLEHEM, PA 18015-1000

Taxonomy

Speciality
Code
Description
License number
State
207X00000X
Orthopaedic Surgery Physician
MB55629
NJ
207X00000X
Orthopaedic Surgery Physician
Primary
OS-007347-E
PA

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
001240665
PA
Enumeration date
06/08/2005
Last updated
10/28/2025
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