Organization
FRONT STREET FAMILY MEDICINE, P.C.
Active
Other names
Front Street Family Medicine
Organization subpart
No
Provider details
NPI number
Authorized official
DR. RICHARD M DIMONTE JR. D.O. (PRESIDENT)
(610) 566-1881
Entity
Organization
Contact information
Practice address
112 W FRONT ST, MEDIA, PA 19063-3232
(610) 566-1881
(610) 566-4776
Mailing address
112 W FRONT ST, MEDIA, PA 19063-3232
(610) 566-1881
(610) 566-4776
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
OS008967L
PA
207QA0401X
Addiction Medicine (Family Medicine) Physician
OS008967L
PA
Other
Enumeration date
04/10/2012
Last updated
04/10/2012
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