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Organization

DIBIASE MEDICAL GROUP PC

Active
Organization subpart
No

Provider details

NPI number
Authorized official
DR. STEVEN J DIBIASE MD (OWNER)
(610) 446-6850
Entity
Organization

Contact information

Practice address
2010 W CHESTER PIKE, SUITE 115, HAVERTOWN, PA 19083-2700
(610) 446-6850
Mailing address
PO BOX 8544, CHERRY HILL, NJ 08002-0544

Taxonomy

Speciality
Code
Description
License number
State
2085R0001X
Radiation Oncology Physician
Primary

Other

Enumeration date
05/07/2008
Last updated
05/07/2008
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