Individual
SKYLAR DIBERARDINIS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
PA-C
Contact information
Practice address
3401 N BROAD ST, PHILADELPHIA, PA 19140-5189
(215) 707-2111
(215) 707-2324
Mailing address
3500 N. BROAD STREET ROOM 001A, PHILADELPHIA, PA 19140-4106
(215) 926-9022
Taxonomy
Speciality
Code
Description
License number
State
363AM0700X
Medical Physician Assistant
Primary
MA063934
PA
Other
Enumeration date
09/27/2022
Last updated
10/13/2022
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