Individual
MARY ELLEN DIMATTEO
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
R.D.
Contact information
Practice address
280 N PROVIDENCE RD, MEDIA, PA 19063-3527
(610) 891-6609
Mailing address
701 BOBBIN MILL RD, MEDIA, PA 19063-1532
(610) 891-6609
Taxonomy
Speciality
Code
Description
License number
State
133V00000X
Registered Dietitian
Primary
DN003968
PA
Other
Enumeration date
10/07/2008
Last updated
10/07/2008
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