Individual
MARIA ISABELLA DITHOMAS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
PA-C
Contact information
Practice address
800 SPRUCE STREET, 1 PINE WEST, PHILADELPHIA, PA 19107
(215) 829-7817
Mailing address
410 SHURS LN APT 203B, PHILADELPHIA, PA 19128-3553
(412) 728-8144
Taxonomy
Speciality
Code
Description
License number
State
363AM0700X
Medical Physician Assistant
Primary
MA065718
PA
Other
Enumeration date
07/26/2024
Last updated
07/26/2024
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