Individual
DR. JESSIE W. DINOME
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
M.D.
Contact information
Practice address
1078 W BALTIMORE PIKE, SUITE 2, MEDIA, PA 19063-5105
(610) 627-4350
(610) 627-4677
Mailing address
1078 W BALTIMORE PIKE, SUITE 2, MEDIA, PA 19063-5105
(610) 627-4350
(610) 627-4677
Taxonomy
Speciality
Code
Description
License number
State
2085R0001X
Radiation Oncology Physician
Primary
MD-062514-L
PA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
001818792
—
PA
05
—
9085106
—
NJ
Enumeration date
07/20/2006
Last updated
03/13/2014
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