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Individual

PHILIP A DIDOMENICO

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
DC

Contact information

Practice address
874 BUTLER ST, STE 1, PITTSBURGH, PA 15223-1340
(412) 781-3150
(412) 781-3156
Mailing address
874 BUTLER ST, STE 1, PITTSBURGH, PA 15223-1340
(412) 781-3150
(412) 781-3156

Taxonomy

Speciality
Code
Description
License number
State
111N00000X
Chiropractor
Primary
DC007863L
PA

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
002269915-003
UNITED HEALTHCARE
05
1015637760001
PA
01
1038513
AMERICAN SPECIALTY HEALTH
01
318753
UPMC
01
7838854
CIGNA
01
813602
HIGHMARK
Enumeration date
09/14/2006
Last updated
04/04/2012
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