Individual
STEVEN G DIMITRIOU
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
DO
Contact information
Practice address
227 N BROAD ST STE 301, PHILADELPHIA, PA 19107-1503
(215) 762-7785
(215) 568-6007
Mailing address
227 N BROAD ST STE 301, PHILADELPHIA, PA 19107-1503
(215) 762-7785
(215) 568-6007
Taxonomy
Speciality
Code
Description
License number
State
207RN0300X
Nephrology Physician
05012385
PA
207RN0300X
Nephrology Physician
Primary
OS012385
PA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1015712120001
—
PA
Enumeration date
09/20/2006
Last updated
03/15/2023
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