Dr DOMENIQUE D DICELLO is a female medical professional, specializing in Physician Assistant. She graduated in 2017.
JEFFERSON HILLS SURGICAL SPECIALISTS
1200 BROOKS LN
SUITE 170
JEFFERSON HILLS
PA
150253759
Tel: 4124697110
| Npi | 1548772460 |
| Pac Id | 0840551685 |
| Professional Enrollment Id | I20180219001779 |
| Last Name | DICELLO |
| First Name | DOMENIQUE |
| Middle Name | D |
| Suffix | |
| Gender | F |
| Credential | |
| Medical School Name | OTHER |
| Graduation Year | 2017 |
| Primary Specialty | PHYSICIAN ASSISTANT |
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| Organization Legal Name | JEFFERSON HILLS SURGICAL SPECIALISTS |
| Group Practice Pac Id | 5496820946 |
| Number Of Group Practice Members | 10 |
| Line 1 Street Address | 1200 BROOKS LN |
| Line 2 Street Address | SUITE 170 |
| Marker Of Address Line 2 Suppression | |
| City | JEFFERSON HILLS |
| State | PA |
| Zip Code | 150253759 |
| Phone Number | 4124697110 |
| Hospital Affiliation Ccn 1 | 390265 |
| Hospital Affiliation Lbn 1 | JEFFERSON HOSPITAL |
| Hospital Affiliation Ccn 2 | |
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| Professional Accepts Medicare Assignment | Y |
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