Individual
DR. DIANA DICKSON-WITMER
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
M.D.
Contact information
Practice address
1504 N BROOM ST, SUITE 2, WILMINGTON, DE 19806-3087
(302) 656-1882
(302) 656-1883
Mailing address
4735 OGLETOWN STANTON RD, NEWARK, DE 19713-2072
(302) 656-1882
(302) 656-1883
Taxonomy
Speciality
Code
Description
License number
State
174400000X
Specialist
Primary
C1-0002159
DE
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
020013197
RAILROAD MEDICARE
DE
Enumeration date
01/23/2006
Last updated
11/29/2017
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