Individual
MS. OLIVIA THERESA DIMAGGIO
Active
Sole proprietor
Provider details
NPI number
Gender
F
Credential
MD
Contact information
Practice address
100 GRANITE DR, STE 200, MEDIA, PA 19063
(610) 565-1945
(610) 892-7848
Mailing address
100 GRANITE DR, STE 200, MEDIA, PA 19063-5134
(610) 565-1945
(610) 892-7848
Taxonomy
Speciality
Code
Description
License number
State
208000000X
Pediatrics Physician
Primary
MD019717E
PA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
0887973
—
PA
Enumeration date
03/31/2006
Last updated
07/08/2007
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