person
Stephanie Shull Diclemente, PA
Medical Physician Assistant in Broomall, Pennsylvania
NPI 1821311440

Stephanie Shull Diclemente is a Medical Physician Assistant based in Broomall, PA and is specialized in Medical. Stephanie Shull Diclemente practices in Broomall, PA and has the professional credentials of PA. The NPI Number for Stephanie Shull Diclemente is 1821311440 and holds a License No. MA054104 (Pennsylvania).

The current practice location address for Stephanie Shull Diclemente is 1999 Sproul Rd, Broomall, PA and can be reached out via phone at 610-353-6400 and via fax at 610-356-1204.

Location: 1999 Sproul Rd, Broomall, PA, 19008-3508
person
Provider Profile Details
NPI Number
1821311440
Provider Name
Stephanie Shull Diclemente
Credential
PA
Provider Entity Type
Individual
Gender
Female
Address
1999 Sproul Rd, Broomall, PA, 19008-3508
Phone Number
610-353-6400
Fax Number
610-356-1204
Provider Enumeration Date
03/10/2010
Last Update Date
03/09/2024
institution
Provider Business Practice Location Address Details
Address
1999 Sproul Rd
City
State
Zip
19008-3508
Phone Number
610-353-6400
Fax Number
610-356-1204
person
Provider Business Mailing Address Details
Address
1999 Sproul Rd
City
State
Zip
19008-3508
Phone Number
610-353-6400
Fax Number
610-356-1204
person
Provider's Taxonomy Details 1
Type
Physician Assistants & Advanced Practice Nursing Providers
Classification
Physician Assistant
Speciality
Medical
Taxonomy
License No.
MA054104 (Pennsylvania)
Definition
Definition to come...
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