Individual
CARMEN N DIMARIO
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
D.O.
Contact information
Practice address
15 N PRESIDENTIAL BLVD STE 200, BALA CYNWYD, PA 19004-1021
(610) 400-8300
Mailing address
1851 HUNTSMAN LN, WEST CHESTER, PA 19382-6962
Taxonomy
Speciality
Code
Description
License number
State
208200000X
Plastic Surgery Physician
Primary
OS-004-046-L
PA
208D00000X
General Practice Physician
OS-004-046-L
PA
Other
Enumeration date
01/13/2010
Last updated
03/23/2018
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