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Individual

DINUMOL MATHEW

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
F

Contact information

Practice address
5675 N FRONT ST, PHILADELPHIA, PA 19120-2719
(215) 279-9666
Mailing address
1428 VILLAGE GREENE BLVD, BENSALEM, PA 19020-3677
(267) 230-4889

Taxonomy

Speciality
Code
Description
License number
State
363LP0808X
Psychiatric/Mental Health Nurse Practitioner
Primary
SP030286
PA

Other

Enumeration date
08/15/2024
Last updated
10/25/2024
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