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Contact Information

MARY M DITTLER, PA-C
4755 OGLETOWN STANTON ROAD
SUITE 5A43
NEWARK, DE19718-2200
 Phone: 302-623-0188
 Fax: 302-733-5640
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Physician Assistant

363A00000X 97 Physician Assistant
 

Medical

363AM0700X 97 Physician Assistant
Indicates primary specialty

NPI Profile & details for MARY M DITTLER · (Female)

NPI Number 1144730342
Status Active
Credentials PA-C (Physician Assistant-Certified)
Entity Individual
Enumeration date 10/03/2017
Last updated 08/19/2025 - About 10 months ago
Sole proprietor 1 No
Identifiers
  • DE License # C5-0012109
  • MD License # C0006603
Hospital affiliation(s)
  • MEDSTAR GOOD SAMARITAN HOSPITAL - (Acute Care)
    5601 LOCH RAVEN BOULEVARD
    BALTIMORE, MD 21239
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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