Individual
MARY DIBASILIO
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
3550 TERRACE ST, A1305 SCAIFE HALL, PITTSBURGH, PA 15213-2500
(412) 623-2167
Mailing address
3550 TERRACE ST, A1305 SCAIFE HALL, PITTSBURGH, PA 15213-2500
Taxonomy
Speciality
Code
Description
License number
State
367500000X
Certified Registered Nurse Anesthetist
Primary
RN229528L
PA
Other
Enumeration date
02/08/2006
Last updated
06/15/2021
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