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1881423739
DIANA FISSIDAS
PHILADELPHIA, PA
NPI
1881423739
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
363LW0102X Nurse Practitioner, Women's Health
(Licence: PA SP030017)
Enumeration Date
2024-07-30
Last Update Date
2024-09-21
Business Address
DIANA FISSIDAS NP
5501 OLD YORK RD
PHILADELPHIA, PA 19141-3018
Phone number: 215-456-7890
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Mailing Address
DIANA FISSIDAS NP
101 E OLNEY AVE STE 400
PHILADELPHIA, PA 19120-2470
Phone number: 215-456-1825
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