Individual
MR. EMIL DIB
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
81 HILLCREST DR, SUITE 2200, PUNXSUTAWNEY, PA 15767-2605
(814) 938-3343
(814) 938-3369
Mailing address
2265 MARKET ST, STE B, WARREN, PA 16365-4682
(814) 938-3343
(814) 938-3369
Taxonomy
Speciality
Code
Description
License number
State
174400000X
Specialist
MD064588L
PA
207V00000X
Obstetrics & Gynecology Physician
25MA08096200
NJ
207V00000X
Obstetrics & Gynecology Physician
Primary
MD064588L
PA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
0017159730002
—
PA
Enumeration date
08/18/2005
Last updated
07/10/2019
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