Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 207RE0101X | Endocrinologist (Diabetes Doctor) | MD028146L | PA |
NPI | 1063678266 |
---|---|
Provider Name | Dr. Richard Snowdon Dillon |
First Address | Bryn Mawr, PA 19010-1950 |
Second Address | Bryn Mawr, PA 19010-1950 |
Gender | M |
NPI Entity type | Individual |
Is Sole Proprietor | Yes |
Is Organization Subpart | N/A |
Enumeration Date | 06/08/2008 |
Last Update Date | 06/08/2008 |