Individual
MICHELLE J. DUMAS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PA
Contact information
Practice address
3998 RED LION ROAD, PHILADELPHIA, PA 19114-1436
(215) 612-4021
Mailing address
4 NESHAMINY INTERPLEX, SUITE 209, TREVOSE, PA 19053-6940
(215) 244-3070
(215) 638-9041
Taxonomy
Speciality
Code
Description
License number
State
2085R0202X
Diagnostic Radiology Physician
Primary
MA052722
PA
2085R0204X
Vascular & Interventional Radiology Physician
MA052722
PA
363AM0700X
Medical Physician Assistant
MA052722
PA
Other
Enumeration date
11/09/2006
Last updated
01/05/2011
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