Individual
DR. PHYLLISANN KATHRYN DIOGUARDI
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
M.D.
Contact information
Practice address
114 KENILWORTH RD, VILLANOVA, PA 19085-1509
(404) 313-1455
Mailing address
114 KENILWORTH RD, VILLANOVA, PA 19085-1509
Taxonomy
Speciality
Code
Description
License number
State
207U00000X
Nuclear Medicine Physician
MD444136
PA
207UN0902X
Nuclear Imaging & Therapy Physician
Primary
MD444136
PA
2085R0202X
Diagnostic Radiology Physician
MT180191
PA
Other
Enumeration date
05/30/2007
Last updated
01/10/2022
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