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Individual

MRS. MARY MCKAY DITTLER

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
PA-C

Contact information

Practice address
4755 OGLETOWN STANTON ROAD, SUITE 5A43, NEWARK, DE 19718-2200
(302) 623-0188
(302) 733-5640
Mailing address
3517 GOUGH ST, BALTIMORE, MD 21224-2310

Taxonomy

Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
C5-0012109
DE
363AM0700X
Medical Physician Assistant
C0006603
MD

Other

Enumeration date
10/03/2017
Last updated
08/19/2025
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