Provider Demographics
NPI:1902946650
Name:DOSCH, DINA CECERE (DO)
Entity Type:Individual
Prefix:
First Name:DINA
Middle Name:CECERE
Last Name:DOSCH
Suffix:
Gender:F
Credentials:DO
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:116 BROWNS HILL RD STE 100
Mailing Address - Street 2:
Mailing Address - City:VALENCIA
Mailing Address - State:PA
Mailing Address - Zip Code:16059-3144
Mailing Address - Country:US
Mailing Address - Phone:724-933-8888
Mailing Address - Fax:724-933-8844
Practice Address - Street 1:3500 BROOKTREE RD
Practice Address - Street 2:SUITE 320
Practice Address - City:WEXFORD
Practice Address - State:PA
Practice Address - Zip Code:15090-9277
Practice Address - Country:US
Practice Address - Phone:724-933-8888
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2007-02-08
Last Update Date:2018-03-14
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
PAOS 012134207R00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207R00000XAllopathic & Osteopathic PhysiciansInternal Medicine
Provider Identifiers
StateIdentifier IDID TypeIssuer
PAI06150Medicare UPIN