Individual
DIANA MARIE JAIYEOLA
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
701 OSTRUM ST STE 201, FOUNTAIN HILL, PA 18015-1152
(484) 526-6545
(484) 526-6546
Mailing address
701 OSTRUM ST STE 201, FOUNTAIN HILL, PA 18015-1152
(484) 526-6545
(484) 526-6546
Taxonomy
Speciality
Code
Description
License number
State
207RG0100X
Gastroenterology Physician
Primary
MD462150
PA
208600000X
Surgery Physician
125061984
IL
Other
Enumeration date
06/25/2012
Last updated
08/29/2019
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