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Individual

DR. PAUL J. DIMUZIO

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
M.D.

Contact information

Practice address
111 S 11TH ST, SUITE 6270, PHILADELPHIA, PA 19107-4824
(215) 955-8830
(215) 923-0835
Mailing address
111 S 11TH ST, SUITE 6270, PHILADELPHIA, PA 19107-4824

Taxonomy

Speciality
Code
Description
License number
State
2085R0202X
Diagnostic Radiology Physician
MD045211L
PA
2085R0204X
Vascular & Interventional Radiology Physician
MD045211L
PA
208600000X
Surgery Physician
MD045211L
PA
2086S0129X
Vascular Surgery Physician
Primary
MD045211L
PA

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
001598017
PA
05
7018703
NJ
Enumeration date
07/19/2006
Last updated
12/09/2014
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