National Provider Identifier
David B Dimarco, MD
David B Dimarco, MD is listed in the NPPES registry with a primary specialty of Specialist in Lakewood, NY and a listed phone number of (814) 723-4560.
Profile Overview
- NPI
- 1396722088
- Provider Type
- Individual
- Primary Specialty
- Specialist
- Enumeration Date
- December 23, 2005
- Last Updated
- March 02, 2016
Practice Location
- 69 E Fairmount Ave
- Lakewood, NY 14750-1809
Phone: (814) 723-4560
Mailing Address
- 109 Valentine Run RD
- Russell, PA 16345-3229
Specialties
- Specialist (174400000X)
- Critical Care Medicine (Internal Medicine) Physician (207RC0200X)
Full Record
- NPI
- 1396722088
- Entity Type
- Individual
- Last Name
- Dimarco
- First Name
- David
- Middle Name
- B
- Credential
- MD
- Mailing Street Address
- 109 Valentine Run RD
- Mailing City
- Russell
- Mailing State
- PA
- Mailing ZIP Code
- 16345-3229
- Mailing Country
- US
- Mailing Phone
- (814) 757-5806
- Mailing Fax
- (814) 757-5807
- Practice Street Address
- 69 E Fairmount Ave
- Practice City
- Lakewood
- Practice State
- NY
- Practice ZIP Code
- 14750-1809
- Practice Country
- US
- Practice Phone
- (814) 723-4560
- Practice Fax
- (814) 757-5807
- Enumeration Date
- December 23, 2005
- Last Updated
- March 02, 2016
- Sex
- Male
- Sole Proprietor
- No
- updated_by_file
- npidata_pfile_20050523-20260308.csv
- Taxonomies
- Specialist (174400000X), Critical Care Medicine (Internal Medicine) Physician (207RC0200X)
- Other Identifiers
- 01447148 (PA), 553235 (PA, Highmark)