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Individual

DONALD S. DIEFENDORF

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
P.A.-C

Contact information

Practice address
2700 QUARRY LAKE DR STE 300, BALTIMORE, MD 21209
(410) 377-8900
(410) 377-0576
Mailing address
601 MEMORY LN, YORK, PA 17402-2123
(717) 851-1405

Taxonomy

Speciality
Code
Description
License number
State
363AM0700X
Medical Physician Assistant
C0002134
MD
363AM0700X
Medical Physician Assistant
Primary
MA002841L
PA

Other

Enumeration date
06/30/2006
Last updated
12/05/2025
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