Ashley Dilullo

Individual provider Active NPI Student in an Organized Health Care Education/Training Program · Secane, PA

NPI 1194282194 · NPPES record last updated Feb 26, 2019

Key facts

NPI
1194282194
Entity type
Individual (NPI type 1)
Primary specialty
Student in an Organized Health Care Education/Training Program 390200000X
Practice address
888 Wyndom Ter
Secane, PA 19018-3427
Phone
(443) 752-8606
NPI assigned
Feb 26, 2019
Sex
Female
Sole proprietor
No

Medicare participation

Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

Medicare enrollment (NPD)
No

Specialties & licenses

Specialty (taxonomy)CodeLicenseStatePrimary
Student in an Organized Health Care Education/Training Program 390200000X Yes

Addresses

Primary practice location

888 Wyndom Ter
Secane, PA 19018-3427

Mailing address

888 Wyndom Ter
Secane, PA 19018-3427

Other providers in Secane, PA

All providers in Secane, PA · Student in an Organized Health Care Education/Training Program in Pennsylvania

Sources for this page

Verify at the official NPI Registry.