Individual
DR. ALLEN JIMENEZ DIMINO
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
1991 SPROUL RD, SUITE 625, BROOMALL, PA 19008-3512
(484) 421-1669
(484) 565-8556
Mailing address
1991 SPROUL RD, SUITE 625, BROOMALL, PA 19008-3512
(484) 421-1669
(484) 565-8556
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
MD455634
PA
Other
Enumeration date
06/07/2012
Last updated
09/30/2015
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