Diane M Thiboutot in Hershey - Dermatology

Diane M Thiboutot - NPI 1104889831

Diane M Thiboutot is a Dermatology in Hershey, Pennsylvania. Diane M Thiboutot practices all healthcare services and medical treatments related to Dermatology. The NPI Number for Diane M Thiboutot is 1104889831. The last update date is 2019-12-19.

Diane M Thiboutot's current location address is Po Box 858, Hershey, Pennsylvania. You can contact this provider via phone number 8002431455. The mailing address for Diane M Thiboutot is Po Box 858, Hershey, Pennsylvania. To know further, please read the information below!

Provider Profile Detail

Provider Name Diane M Thiboutot
Address Po Box 858, Hershey, Pennsylvania
Phone Number 8002431455
Fax Number
Sole Proprietor N
Credentials MD

NPI Number Detail

NPI Number 1104889831
Provider Enumeration Date 2006-04-12
Last Updated Date 2019-12-19

Provider Mailing Address Detail

Address Po Box 858
City Hershey
State Pennsylvania (PA)
Post Code 170330858
Phone Number 8002431455
Fax Number

Provider's Primary Taxonomy Detail

Speciality Dermatology
Taxonomy 207N00000X
Licence No MD043565L
Definition:
A dermatologist is trained to diagnose and treat pediatric and adult patients with benign and malignant disorders of the skin, mouth, external genitalia, hair and nails, as well as a number of sexually transmitted diseases. The dermatologist has had

Provider's Other Legacy Identifiers

Identifier Identifier Type Identifier State Identifier Issuer
12790420001 PA --

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FAQs about Diane M Thiboutot

What is the Diane M Thiboutot's 1104889831?

The Diane M Thiboutot's NPI (National Provider Identifier) Number is 1104889831. This unique 10-digit identification number is assigned to health care providers by the Centers for Medicare & Medicaid Services (CMS).

Where is the Diane M Thiboutot located?

The Diane M Thiboutot is located at Po Box 858, Hershey, PA 170330858.

What is Diane M Thiboutot's primary area of medical expertise, and what taxonomy classification code corresponds to this specialized field?

The primary area of medical expertise for Diane M Thiboutot is Dermatology, and the corresponding taxonomy classification code for this specialized field is 207N00000X.

On what date did the Diane M Thiboutot receive its 1104889831 assignment from the Centers for Medicare & Medicaid Services?

The Diane M Thiboutot was assigned its 1104889831 by the Centers for Medicare & Medicaid Services on 2006-04-12.

As of what date were the details related to Diane M Thiboutot most recently updated or revised?

The information pertaining to Diane M Thiboutot, including its address, specialty, and other relevant details, was last updated or revised on 2019-12-19.

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