Elaine Marguerite Dimicco, PA-C

NPI #1487885091 in Whitedeer, Pennsylvania

Provider Information

NPI Number: 1487885091
Entity Type: Individual
Name: Elaine Marguerite Dimicco, PA-C
Gender: Not Specified
Sole Proprietor: No
Primary Specialty: Physician Assistant
Credential: PA-C
Enumeration Date: Jul 30, 2009
Last Updated: Nov 4, 2014

Practice Location

Address: 2 MI NORTH OF WHITEDEER
City: Whitedeer
State: Pennsylvania
ZIP Code: 17717
Phone: (570) 547-0963

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Physician Assistant	363A00000X	Primary

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