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DOMENIC D DICLEMENTE

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
MD

Contact information

Practice address
1966 LINCOLN WAY, SUITE 100, WHITE OAK, PA 15131
(412) 673-3800
(412) 673-5848
Mailing address
1966 LINCOLN WAY, SUITE 100, WHITE OAK, PA 15131
(412) 673-3800
(412) 673-5848

Taxonomy

Speciality
Code
Description
License number
State
207V00000X
Obstetrics & Gynecology Physician
Primary
MD038834E
PA

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
136255
MED PLUS
Enumeration date
11/16/2006
Last updated
07/08/2007
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