Individual
ANTHONY DAVID DIMATTEO
Active
Individual
ANTHONY DAVID DIMATTEO
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
D.O.
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
Update your record
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