Provider Demographics
NPI:1346449279
Name:FOX, DIANE GUENIN (MD)
Entity Type:Individual
Prefix:DR
First Name:DIANE
Middle Name:GUENIN
Last Name:FOX
Suffix:
Gender:F
Credentials:MD
Other - Prefix:
Other - First Name:
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Other - Credentials:
Mailing Address - Street 1:301 E DONNER AVE
Mailing Address - Street 2:SUITE 101
Mailing Address - City:MONESSEN
Mailing Address - State:PA
Mailing Address - Zip Code:15062-1388
Mailing Address - Country:US
Mailing Address - Phone:724-684-8999
Mailing Address - Fax:724-684-8983
Practice Address - Street 1:301 E DONNER AVE
Practice Address - Street 2:SUITE 101
Practice Address - City:MONESSEN
Practice Address - State:PA
Practice Address - Zip Code:15062-1388
Practice Address - Country:US
Practice Address - Phone:724-684-8999
Practice Address - Fax:724-684-8983
Is Sole Proprietor?:Yes
Enumeration Date:2007-07-11
Last Update Date:2011-08-25
Deactivation Date:
Deactivation Code:
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Provider Licenses
StateLicense IDTaxonomies
PAMD 045357L207Q00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207Q00000XAllopathic & Osteopathic PhysiciansFamily Medicine