Individual
CHERIE M DITRE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MD
Contact information
Practice address
250 KING OF PRUSSIA RD, RADNOR, PA 19087
(610) 902-2428
(610) 902-2404
Mailing address
250 KING OF PRUSSIA RD, RADNOR, PA 19087
Taxonomy
Speciality
Code
Description
License number
State
207N00000X
Dermatology Physician
Primary
MD039822L
PA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
001214119000
—
PA
Enumeration date
07/11/2006
Last updated
02/07/2011
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