Individual
DOMINICK J DIMAIO
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
MD
Taxonomy
Speciality
Code
Description
License number
State
207N00000X
Dermatology Physician
21483
NE
207ZP0101X
Anatomic Pathology Physician
Primary
21483
NE
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
47078557547
—
NE
Enumeration date
05/03/2006
Last updated
06/24/2011
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