Individual
NICHOLAS J DILLMAN
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
777 RURAL AVE, WILLIAMSPORT, PA 17701-3109
(570) 321-2321
Mailing address
800 VINIAL ST, SUITE B407A, PITTSBURGH, PA 15212-5151
(412) 323-4402
(412) 323-4418
Taxonomy
Speciality
Code
Description
License number
State
207ZP0102X
Anatomic Pathology & Clinical Pathology Physician
Primary
MD 039881E
PA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
0014322800006
—
PA
01
—
220017833
RR MEDICARE
PA
01
—
311678
UPMC
PA
01
—
809446
FIRST PRIORITY/HMO NE PA
PA
Enumeration date
08/15/2006
Last updated
04/15/2010
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