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Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.

ELLEN MARIE DIDIMAMOFF, MD

Active

ELLEN MARIE DIDIMAMOFF, MD is a Family Medicine healthcare provider located in WIND GAP, Pennsylvania. NPI 1578551248 is currently active in the NPPES registry. Verify at CMS.

Family Medicine · WIND GAP, PA

Registration Details

NPI Number
1578551248
Provider Type
Individual
Gender
Female
NPI Issued
Oct 7, 2005 (20.854842504304 yrs)
Last Updated
Oct 13, 2014
License
MD423610 (PA)

Practice Information

Address
497 BUSHKILL PLAZA LN
WIND GAP, PA, 180919665
Browse PA providers · Browse ZIP 18091
Phone
6108637020
Fax
6108635504
Primary Specialty
Family Medicine
207Q00000X

Other Family Medicine Providers in WIND GAP, PA

Name Credential NPI
ALBERT B DEFRANCO MD 1114992351
JOSEPH E CESANEK MD 1053327106
MICHAEL S DEPAOLO D.O. 1891892618
WAYNE J BROTZMAN JR. D.O. 1295832012
DR. MARK WRIGHT POWELL M.D. 1770678229
DR. SHEILA MARY BORICK M.D. 1205951795
Data sourced from the NPPES National Provider Identifier registry. This information is for informational purposes only and is not a substitute for verifying credentials with the appropriate licensing authority. For official verification, use the NPPES NPI Registry or the relevant state medical board.