Individual
DR. RICHARD MICHAEL DIMONTE JR.
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
D.O.
Contact information
Practice address
112 W FRONT ST, MEDIA, PA 19063-3208
(610) 566-1881
(610) 566-4776
Mailing address
112 W FRONT ST, MEDIA, PA 19063-3208
(610) 566-1881
(610) 566-4776
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
OS008967L
PA
208D00000X
General Practice Physician
Primary
OS008967L
PA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
01618989
—
PA
Enumeration date
08/28/2006
Last updated
12/29/2020
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