Provider Demographics
NPI:1427867886
Name:DIBONA, MADALYN MARIE (PA-C)
Entity type:Individual
Prefix:
First Name:MADALYN
Middle Name:MARIE
Last Name:DIBONA
Suffix:
Gender:
Credentials:PA-C
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
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Other - Credentials:
Mailing Address - Street 1:291 CARTER DR STE A
Mailing Address - Street 2:
Mailing Address - City:MIDDLETOWN
Mailing Address - State:DE
Mailing Address - Zip Code:19709-5845
Mailing Address - Country:US
Mailing Address - Phone:844-365-7246
Mailing Address - Fax:844-524-1767
Practice Address - Street 1:100 ARRANDALE BLVD STE 103
Practice Address - Street 2:
Practice Address - City:EXTON
Practice Address - State:PA
Practice Address - Zip Code:19341-2695
Practice Address - Country:US
Practice Address - Phone:844-365-7246
Practice Address - Fax:844-524-1767
Is Sole Proprietor?:No
Enumeration Date:2024-12-31
Last Update Date:2025-03-07
Deactivation Date:
Deactivation Code:
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Provider Licenses
StateLicense IDTaxonomies
PAMA066266363A00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363A00000XPhysician Assistants & Advanced Practice Nursing ProvidersPhysician Assistant