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Individual

DR. CHRISTINA ILSE DINICOLA

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
M.D.

Contact information

Practice address
40 S MAIN ST, RANDOLPH, VT 05060-1377
(802) 728-2420
(802) 728-2111
Mailing address
PO BOX 2000, RANDOLPH, VT 05060-2000
(802) 728-7000

Taxonomy

Speciality
Code
Description
License number
State
208000000X
Pediatrics Physician
Primary
0420013072
VT
208000000X
Pediatrics Physician
25MA08994900
NJ
208000000X
Pediatrics Physician
MD426793
PA

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
1024133070001
PA
Enumeration date
02/18/2008
Last updated
09/05/2025
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