Ellen Didimamoff, MD

NPI 1578551248 · on the registry since 2005

Practice

Address: 497 Bushkill Plaza Ln
Wind Gap, PA 18091
Phone: (610) 863-7020
Fax: (610) 863-5504
Organisation at this address: Life Change Health P.C.
St. Luke'S Physician Group, Inc.
Inferred from a shared address, not stated in the registry.
Clinicians at this address: 3

Registry record

Primary taxonomy: 207Q00000X
207Q00000X
Licence states on file: PA
From the registry's licence fields, which are often incomplete.
Sex: Female
Record last updated: 2014-10-13

Source: CMS National Plan and Provider Enumeration System. Registration is not the same as practising, and the registry records no retirement — some people listed here no longer practise. More in Pennsylvania