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Individual

ANTHONY DAVID DIMATTEO

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
Man
Credential
D.O.

Contact information

Practice address
104 TECHNOLOGY DR STE 204, BUTLER, PA 16001-1801
(724) 482-4257
Mailing address
PO BOX 1549, BUTLER, PA 16003-1549
(724) 482-4257
(724) 482-4785

Taxonomy

Speciality
Code
Description
License number
State
208800000X
Urology Physician
Primary
OS018533
PA

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
OS018533
LICENSE
PA
Enumeration date
05/23/2012
Last updated
12/06/2018
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