MS. Mary Difonzo, MARYDIFONZOPA-C
MS. Mary Difonzo, MARYDIFONZOPA-C is a Physician Assistant in Rome, Georgia. Licensed in Maryland. Registered with an NPI since 2010.
- Licensed in
- MD
- In the registry since
- 2010
Practice location Address checks out
30 Chateau Dr SERome, GA 30161-7201
Phone: (706) 291-3753
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Pin is approximate — placed at the ZIP-code centre, not the exact door.
Specialties & licences
| Physician Assistant (primary) | Taxonomy 363A00000X · Licence C00001729 (MD) |
|---|
Record details
| NPI number | 1649585415 |
|---|---|
| Entity type | Individual (Type 1) |
| Gender | Female |
| Credentials | MARYDIFONZOPA-C |
| Sole proprietor | No |
| NPI enumerated | August 17, 2010 |
| Last updated in NPPES | August 17, 2010 |
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