Individual
ELLEN MARIE DIDIMAMOFF
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MD
Contact information
Practice address
497 BUSHKILL PLAZA LN, WIND GAP, PA 18091-9665
(610) 863-7020
(610) 863-5504
Mailing address
801 OSTRUM ST, BETHLEHEM, PA 18015-1000
(484) 526-6048
(484) 526-6500
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
MD423610
PA
Other
Enumeration date
10/07/2005
Last updated
10/13/2014
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