Individual
MARY DHESI
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
M.D.
Contact information
Practice address
100 N ACADEMY AVE, DANVILLE, PA 17822-1100
(570) 271-6338
(570) 271-6105
Mailing address
100 N ACADEMY AVE, DANVILLE, PA 17822-4903
(570) 271-6144
(570) 271-6578
Taxonomy
Speciality
Code
Description
License number
State
207ZP0102X
Anatomic Pathology & Clinical Pathology Physician
26589
NE
207ZP0102X
Anatomic Pathology & Clinical Pathology Physician
Primary
MD472712
PA
208D00000X
General Practice Physician
26589
NE
390200000X
Student in an Organized Health Care Education/Training Program
—
—
Other
Enumeration date
02/08/2010
Last updated
06/09/2021
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