Individual
BLERTA DIMO
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MD
Contact information
Practice address
800 SPRUCE ST, PHILADELPHIA, PA 19107-6130
(215) 829-3000
Mailing address
130 RUE DU BOISE, CHERRY HILL, NJ 08003-3738
(251) 487-7659
Taxonomy
Speciality
Code
Description
License number
State
133V00000X
Registered Dietitian
DN006188
PA
207ZP0102X
Anatomic Pathology & Clinical Pathology Physician
Primary
25MA12180700
NJ
390200000X
Student in an Organized Health Care Education/Training Program
—
—
Other
Enumeration date
09/13/2017
Last updated
12/03/2024
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