Organization
MARY ANN DIBIAGIO DO PC
Active
Parent organization
MEDVANTX, INC
Other names
Mary Ann DiBiagio DO
Organization subpart
Yes
Provider details
NPI number
Legal business name
MEDVANTX, INC
Authorized official
KENNY HEINE (VP OF OPERATIONS)
(858) 625-2990
Entity
Organization
Contact information
Practice address
1673 STATE ROUTE 65, ELLWOOD CITY, PA 16117
(724) 758-7559
Mailing address
5626 OBERLIN DR, SUITE 110, SAN DIEGO, CA 92121-1705
Taxonomy
Speciality
Code
Description
License number
State
332900000X
Non-Pharmacy Dispensing Site
Primary
OS005303L
PA
Other
Enumeration date
02/09/2007
Last updated
03/03/2015
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