Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
N | 207U00000X | Nuclear Medicine Specialist | MD444136 | PA |
NPI | 1225239007 |
---|---|
Provider Name | Dr. Phyllisann Kathryn Dioguardi |
First Address | Villanova, PA 19085-1509 |
Second Address | Villanova, PA 19085-1509 |
Gender | F |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 30/05/2007 |
Last Update Date | 10/01/2022 |