Individual
JOHANNA MARY DIMENTO
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
M.D.
Contact information
Practice address
291 STONER AVE, WESTMINSTER, MD 21157-5647
(410) 871-6400
(410) 871-6248
Mailing address
291 STONER AVE, WESTMINSTER, MD 21157-5647
(410) 871-6400
(410) 871-6248
Taxonomy
Speciality
Code
Description
License number
State
207RH0003X
Hematology & Oncology Physician
Primary
D0071746
MD
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
332232700
—
MD
Enumeration date
03/15/2006
Last updated
10/03/2014
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