Individual
GABRIELLE CAROLINE DIMATTIA
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
DO
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
LL82263
SC
207RI0200X
Infectious Disease Physician
Primary
82263
SC
Other
Enumeration date
06/17/2019
Last updated
07/26/2024
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