Provider Demographics
NPI:1881009090
Name:DIMARTE, CRISTINA NICOLE (PA)
Entity Type:Individual
Prefix:
First Name:CRISTINA
Middle Name:NICOLE
Last Name:DIMARTE
Suffix:
Gender:F
Credentials:PA
Other - Prefix:
Other - First Name:CRISTINA
Other - Middle Name:NICOLE
Other - Last Name:FINI
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:PA
Mailing Address - Street 1:33 CHURCH HILL RD
Mailing Address - Street 2:
Mailing Address - City:NEWTOWN
Mailing Address - State:CT
Mailing Address - Zip Code:06470-1637
Mailing Address - Country:US
Mailing Address - Phone:203-426-5554
Mailing Address - Fax:
Practice Address - Street 1:33 CHURCH HILL RD
Practice Address - Street 2:
Practice Address - City:NEWTOWN
Practice Address - State:CT
Practice Address - Zip Code:06470-1637
Practice Address - Country:US
Practice Address - Phone:203-426-5554
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2014-06-26
Last Update Date:2023-01-31
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363A00000XPhysician Assistants & Advanced Practice Nursing ProvidersPhysician Assistant