Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.

Mary Ann Dibiagio DO PC

Organization Non-Pharmacy Dispensing Site · NPI 1710028832

Mary Ann Dibiagio DO PC is a Non-Pharmacy Dispensing Site in Ellwood City, Pennsylvania. Licensed in Pennsylvania. Registered with an NPI since 2007.

Licensed in
PA
In the registry since
2007
What do these letters mean?
PC — Professional corporation
A form of business registration, not a clinical qualification.

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Practice location Address checks out

1673 State Route 65
Ellwood City, PA 16117
Phone: (724) 758-7559
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Non-Pharmacy Dispensing Site (primary) Taxonomy 332900000X · Licence OS005303L (PA)

Record details

NPI number1710028832
Entity typeOrganization (Type 2)
Organization subpartYes
Parent organizationMedvantx, Inc
Authorized official Kenny Heine — Vp Of Operations · (858) 625-2990
Other names Mary Ann Dibiagio Do
NPI enumeratedFebruary 9, 2007
Last updated in NPPESMarch 3, 2015
Mailing address5626 Oberlin Dr, Suite 110, San Diego, CA 92121-1705

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