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Individual

DIANE TUMOLO

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
F

Contact information

Practice address
5030 STATE RD, DREXEL HILL, PA 19026-4605
(610) 394-1330
Mailing address
5030 STATE RD, DREXEL HILL, PA 19026-4605
(610) 394-1330

Taxonomy

Speciality
Code
Description
License number
State
363LA2200X
Adult Health Nurse Practitioner
Primary
2016015030
PA
363LP2300X
Primary Care Nurse Practitioner
SP016622
PA

Other

Enumeration date
12/12/2016
Last updated
01/29/2026
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