Provider Demographics
NPI:1780693705
Name:OPATT, DIANE MARY (MD)
Entity type:Individual
Prefix:DR
First Name:DIANE
Middle Name:MARY
Last Name:OPATT
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Gender:F
Credentials:MD
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Mailing Address - Street 1:1245 HIGHLAND AVE
Mailing Address - Street 2:SUITE 305
Mailing Address - City:ABINGTON
Mailing Address - State:PA
Mailing Address - Zip Code:19001-3714
Mailing Address - Country:US
Mailing Address - Phone:215-481-7400
Mailing Address - Fax:215-481-2159
Practice Address - Street 1:1245 HIGHLAND AVE
Practice Address - Street 2:SUITE 305
Practice Address - City:ABINGTON
Practice Address - State:PA
Practice Address - Zip Code:19001-3714
Practice Address - Country:US
Practice Address - Phone:215-481-7464
Practice Address - Fax:215-481-2159
Is Sole Proprietor?:Yes
Enumeration Date:2006-08-07
Last Update Date:2007-07-08
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Provider Licenses
StateLicense IDTaxonomies
PAMD-426663208600000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes208600000XAllopathic & Osteopathic PhysiciansSurgery