Provider Demographics
NPI:1982033593
Name:DIMASCIO, HOLLY ANN (PA-C)
Entity Type:Individual
Prefix:MISS
First Name:HOLLY
Middle Name:ANN
Last Name:DIMASCIO
Suffix:
Gender:F
Credentials:PA-C
Other - Prefix:
Other - First Name:
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Other - Last Name:
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Other - Credentials:
Mailing Address - Street 1:4885 DEMOSS RD
Mailing Address - Street 2:SUITE 201
Mailing Address - City:READING
Mailing Address - State:PA
Mailing Address - Zip Code:19606-9023
Mailing Address - Country:US
Mailing Address - Phone:610-779-9489
Mailing Address - Fax:
Practice Address - Street 1:4885 DEMOSS RD
Practice Address - Street 2:SUITE 201
Practice Address - City:READING
Practice Address - State:PA
Practice Address - Zip Code:19606-9023
Practice Address - Country:US
Practice Address - Phone:610-779-9489
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2013-11-04
Last Update Date:2015-06-08
Deactivation Date:
Deactivation Code:
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Provider Licenses
StateLicense IDTaxonomies
PAMA056434363A00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363A00000XPhysician Assistants & Advanced Practice Nursing ProvidersPhysician Assistant