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Individual

DANIELLE DIMEDIO

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
APN

Contact information

Practice address
181 W WHITE HORSE PIKE STE 100, BERLIN, NJ 08009-2032
(856) 767-6044
Mailing address
401 ROUTE 73 N STE 320, MARLTON, NJ 08053-3426
(856) 872-7055

Taxonomy

Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
26NJ15122400
NJ
363L00000X
Nurse Practitioner
26NJ15122400
NJ
363LF0000X
Family Nurse Practitioner
Primary
26NJ15122400
NJ

Other

Enumeration date
08/27/2024
Last updated
10/04/2024
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