Provider Demographics
NPI:1942231337
Name:DIMAURO, CYNTHIA LYNNE (MD)
Entity Type:Individual
Prefix:DR
First Name:CYNTHIA
Middle Name:LYNNE
Last Name:DIMAURO
Suffix:
Gender:F
Credentials:MD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:1743 HEMPSTEAD LN
Mailing Address - Street 2:
Mailing Address - City:PITTSBURGH
Mailing Address - State:PA
Mailing Address - Zip Code:15241-1377
Mailing Address - Country:US
Mailing Address - Phone:412-833-2430
Mailing Address - Fax:412-854-5183
Practice Address - Street 1:2585 FREEPORT RD
Practice Address - Street 2:SUITE 105
Practice Address - City:PITTSBURGH
Practice Address - State:PA
Practice Address - Zip Code:15238-1425
Practice Address - Country:US
Practice Address - Phone:412-828-4409
Practice Address - Fax:412-828-4647
Is Sole Proprietor?:No
Enumeration Date:2006-07-05
Last Update Date:2016-04-11
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
PAMD037589E174400000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes174400000XOther Service ProvidersSpecialist
Provider Identifiers
StateIdentifier IDID TypeIssuer
PA0010753650007Medicaid
PA529134Medicare ID - Type Unspecified
PA0010753650007Medicaid
PAC34680Medicare UPIN