Individual
MRS. MARY ELLEN DAGUSTO
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
CRNP
Contact information
Practice address
595 W STATE ST, DOYLESTOWN, PA 18901-2554
(215) 345-2200
Mailing address
621 W SANDY RIDGE RD, DOYLESTOWN, PA 18901-2106
(215) 534-3498
Taxonomy
Speciality
Code
Description
License number
State
363LA2200X
Adult Health Nurse Practitioner
Primary
SP007042C
PA
Other
Enumeration date
12/12/2006
Last updated
02/20/2018
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