Individual
THOMAS JOHN DIMARIA
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
CRNP
Contact information
Practice address
100 N ACADEMY AVE, HOSPITAL MEDICINE, DANVILLE, PA 17822-9800
(570) 214-9585
Mailing address
100 N ACADEMY AVE, DANVILLE, PA 17822-4903
(570) 271-6144
(570) 271-6578
Taxonomy
Speciality
Code
Description
License number
State
363L00000X
Nurse Practitioner
Primary
SP017142
PA
363LF0000X
Family Nurse Practitioner
SP017142
PA
Other
Enumeration date
02/07/2017
Last updated
12/18/2020
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