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Contact Information

PHYLLISANN K DIOGUARDI, MD
114 KENILWORTH RD
VILLANOVA, PA19085-1509
 Phone: 404-313-1455
 Fax:
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Nuclear Imaging & Therapy

207UN0902X 36 Physician/Nuclear Medicine
 

Diagnostic Radiology

2085R0202X 30 Physician/Diagnostic Radiology
 

Nuclear Medicine

207U00000X 36 Physician/Nuclear Medicine
Indicates primary specialty

NPI Profile & details for PHYLLISANN K DIOGUARDI · (Female)

NPI Number 1225239007
Status Active
Credentials MD
Entity Individual
Enumeration date 05/30/2007
Last updated 01/10/2022 - About 4 years ago
Sole proprietor 1 No
Identifiers
  • PA License # MD444136
  • PA License # MT180191
Hospital affiliation(s) Not Available
1 A sole proprietor/sole proprietorship is an individual, and as such, is eligible for a single NPI number. The sole proprietor must apply for the NPI number using his or her own Social Security Number (SSN), not an Employer Identification Number (EIN) even if he/she has an EIN.

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