Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
N | 1223G0001X | General Practice | DS030841L | PA |
N | 213EG0000X | General Practice | DS030841L | PA |
Y | 1223S0112X | Oral and Maxillofacial Surgeon | DA030841A | PA |
NPI | 1093785511 |
---|---|
Provider Name | Dr. Donald J Dinello |
First Address | Harrisburg, PA 17112-4046 |
Second Address | Harrisburg, PA 17112 |
Gender | M |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 26/01/2006 |
Last Update Date | 14/01/2019 |
IDENTIFIER | TYPE / CODE | IDENTIFIER STATE |
---|---|---|
U75062 | (02) | PA |