NPI | 1750463543 |
---|---|
Doing Business As | NANCY A DIMARTINO MD |
Entity Type | Organization |
Authorized Contact | SUSAN GRAY Practice Admin 765-446-5050 |
Organization Subpart ? | No |
Primary Taxonomy | 332900000X Non-Pharmacy Dispensing Site (Licence: IN 01045452A) |
Enumeration Date | 2006-10-20 |
Last Update Date | 2020-08-22 |