Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
N | 208000000X | Pediatrician | 0101254964 | VA |
N | 208000000X | Pediatrician | 25MA09587200 | NJ |
Y | 208000000X | Pediatrician | A152057 | CA |
N | 208000000X | Pediatrician | MD436934 | PA |
N | 2080P0202X | Pediatric Cardiologist | A152057 | CA |
NPI | 1023236148 |
---|---|
Provider Name | Amy Elizabeth Dipietro |
First Address | San Francisco, CA 94109-6978 |
Second Address | San Francisco, CA 94109-6978 |
Gender | F |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 23/04/2007 |
Last Update Date | 29/10/2021 |