Individual provider · Type 1 NPI

Stephanie Shull Diclemente, P.A.

Medical Physician Assistant · Broomall, PA

NPI number 1821311440 Active

Practice location

1999 Sproul Rd, Ste 25
Broomall, PA 19008-3508

Call (610) 353-6400 Map

Fax (610) 356-1204

Specialties and licenses

TaxonomyCodeLicense
Medical Physician Assistant Primary 363AM0700XMA054104 (PA)

Medical Physician Assistant: Definition to come...

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About NPI 1821311440

Stephanie Shull Diclemente, P.A.'s National Provider Identifier is 1821311440, issued on Mar 10, 2010. The primary taxonomy on file is Medical Physician Assistant (363AM0700X), and the practice location is in Broomall, PA. The record was last updated on Feb 9, 2022.